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Before using Tadalafil you should tell your doctor if you have any medical conditions listed below: heart disease or heart rhythm problems; a recent history a heart attack (within the past 90 days); Cimetidine; cisapride; diltiazem; grapefruit juice; medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole); A small number of patients is reported to have experienced a sudden loss of eyesight after using Tadalafil. It is caused by decreased blood flow to the optic nerve of the eye.

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