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It should not be construed as containing specific instructions for any particular patient. Until you are certain how you are affected by Tadalafil, use caution when driving or operating heavy machinery. Taking tadalafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. When taken in excess, alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.
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