Vidalista Black 80 mg

Tadalafil should not be used under the following circumstances due to the risk of serious or life-threatening adverse effects:

• Allergy: Known hypersensitivity to tadalafil or any component of the formulation.
• Concurrent nitrate therapy: Use with nitrates (e.g., nitroglycerin, isosorbide dinitrate) or nitric oxide donors (“poppers”) is strictly contraindicated due to the risk of severe hypotension.
• Severe cardiovascular disease: Not recommended for men with unstable angina, recent myocardial infarction or stroke (within the last 6 months), severe heart failure, or uncontrolled arrhythmias.
• Severe hepatic or renal impairment: Should not be used in men with significant liver or kidney dysfunction.
• History of Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION): Avoid use in men with a history of NAION due to the risk of sudden vision loss.
• Inherited retinal disorders: Such as retinitis pigmentosa.
• Underage or female patients: Contraindicated in women and those under 18 years.
• Anatomical penile deformation or priapism risk: Not recommended for men with Peyronie’s disease or predisposition to prolonged erections (e.g., sickle cell anemia, leukemia, multiple myeloma).
• Concurrent use of other PDE5 inhibitors or ED therapies: Should not be combined with other erectile dysfunction medications.
• Uncontrolled hypotension or hypertension: Contraindicated in men with significantly low or high blood pressure that is not under control.
• Use of guanylate cyclase stimulators: (such as riociguat) is also contraindicated.

Medical Caution:
Always consult your healthcare provider before starting tadalafil, especially if you have cardiovascular, hepatic, renal, visual, hematological, or psychiatric conditions, or if you are taking any prescription, over-the-counter, or herbal medications.