Alyq

Do not take this medication with any of the following:
-Medications for erectile dysfunction, such as avanafil, sildenafil, vardenafil
-Nitrates, such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin
-Other tadalafil products (Cialis)
-Riociguat
This medication may also interact with the following:
-Certain medications for high blood pressure
-Certain medications for HIV or AIDS
-Certain medications used for fungal infections, such as fluconazole, itraconazole, ketoconazole, voriconazole
-Certain medications used for seizures, such as carbamazepine, phenytoin, phenobarbital
-Grapefruit juice
-Macrolide antibiotics, such as clarithromycin or erythromycin
-Medications for prostate conditions
-Rifabutin, rifampin, or rifapentine

They need to know if you have any of these conditions:
-Abnormal penis shape or Peyronie disease
-Bleeding disorder
-Blood diseases, such as sickle cell anemia or leukemia
-Eye disease, such as retinitis pigmentosa
-Have had a heart attack
-Have had a painful and prolonged erection
-Have had a stroke
-Heart disease, such as angina, heart failure, irregular heartbeat or rhythm
-High or low blood pressure
-Kidney disease
-Liver disease
-Pulmonary vascular occlusive disease (PVOD)
-Stomach ulcers, other stomach or intestine problems
-An unusual or allergic reaction to tadalafil, other medications, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breastfeeding

Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.
Stop and call your care team right away if you have symptoms such as nausea, dizziness, or chest pain during sex.
Contact your care team right away if you have an erection that lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.
This medication may affect your coordination, reaction time, or judgment. Do not drive or operate machinery until you know how this medication affects you. Sit up or stand slowly to reduce the risk of dizzy or fainting spells. Drinking alcohol with this medication can increase the risk of these side effects. Do not have more than 4 alcohol-containing drinks in a short period of time while taking this medication.

Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medication after the expiration date.