Precautionary measures: Before the beginning of reception for diagnostics of violations of erection, determinations of its possible reasons and choice of adequate methods of treatment must be collected anamnesis and to conduct the estimation of the state of patient.
Serdechno-sosudistye diseases
It is necessary to mean, that sexual activity has a potential risk for patients with serdechno-sosudistymi diseases. Therefore treatment of erektil’noy disfunction, including with the use of tadalafila, it is not necessary to conduct for men with serdechno-sosudistymi
diseases which sexual activity is not recommended at.
It is necessary to take into account that at the obstruction of levogo ventricle (for example aortic stenosis and idiopaticheskiy hypertrophy subaortic stenosis) patients can react on the action of vazodilatatorov, including ingibitory.
Some groups of patients with serdechno-sosudistymi diseases were not plugged in the clinical tests of efficiency and safety of tadalafila and his use for these patients not recommended to the receipt of further information (see of “Limitation to application”).
Prolonged erection
There are rare reports about the origin of erection, proceeding more than 4 ch, and priapizma (sickly erection, lasting more than 6 ch) at the use of connections of this class. Ill-timed treatment of priapizma can bring a cock over to the irreversible damage of fabrics. In case if erection lasts more than 4 ch, it
follows a patient immediately to appeal to the doctor.