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Dividing the dose 40 mg over the course of the day is not recommended. Increase to 40 mg once daily based on individual tolerability.

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Nonarteritic anterior ischemic optic neuropathy NAIONa cause of decreased vision including permanent loss of vision, reported rarely during postmarketing experience in temporal association with use of all PDE type 5 inhibitors. Possible visual disturbances e.

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Grapefruit juice may also increase the side effects of tadalafil. Note that this list is not all-inclusive and includes only common medications that may interact with tadalafil.

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