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Can include nausea, vomiting, and diarrhoea. Tadalafil can also cause nasal congestion, headaches, facial flushing, slight vertigo, a pounding heartbeat, and blurred vision. You should NOT take Tadalafil if taking nicorandil or nitrate-based medication for angina. Please see your GP for treatment options. If you are taking alpha-blocking medicines, such as tamsulosin or prazosin, you are advised to leave at least six hours between taking your alpha-blocker and Tadalafil.

If taking a 10 or 20mg dose, take one tablet about half an hour before sex. It enhances the erectile response in men by relaxing smooth muscle and increasing blood flow. It is one of a class of drugs known as PDE-5 inhibitors. The effects generally last between hours. You will only notice an erection however if you are sexually stimulated. Erections which are painful or last longer than 4 hours require medical attention.

It can work as soon as 15 minutes after taking. However, you should take it about 30 minutes before sexual activity. Although uncommon, side effects can include nausea, vomiting, and diarrhoea. It may also result in nasal congestion, headaches, a pounding heartbeat, facial flushing, slight vertigo and blurred vision.

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