Tadalafil 40mg, while effective for many, can cause side effects. Common ones include headache, flushing, nasal congestion, and indigestion. These usually are mild and temporary. Less common, but still possible, are back pain, muscle aches, and changes in vision (blurred vision, sensitivity to light). Rarely, more serious side effects like hearing loss or prolonged erection (priapism) occur. Seek immediate medical attention if you experience a prolonged erection lasting more than four hours or any sudden vision changes.
Medication Interactions
Tadalafil interacts with certain medications. Nitrates, often prescribed for chest pain, are a serious concern. Combining them with tadalafil can cause a dangerous drop in blood pressure. Inform your doctor about all medications you take, including over-the-counter drugs and supplements. Alpha-blockers, used to treat high blood pressure or enlarged prostate, can also interact, potentially causing dizziness. Grapefruit juice can increase tadalafil levels in your blood, potentially intensifying side effects. Avoid grapefruit while using this medication.
Other Considerations
Alcohol can worsen side effects. Heart conditions require careful consideration before using tadalafil. Consult your doctor before taking tadalafil if you have a history of heart problems, stroke, low blood pressure, or high blood pressure. Tadalafil’s effect can be influenced by your age and overall health. Your doctor can help you determine the appropriate dose and monitor for any adverse reactions.


