Do Not Use This Medication If You:

• Take nitrates (e.g., nitroglycerin) or guanylate cyclase stimulators (e.g., riociguat)

• Have been told to avoid sexual activity due to heart conditions

• Are allergic to Tadalafil or any ingredients in the formulation

• Have severe liver or kidney disease (unless cleared by your provider)

Use With Caution If You:

• Have a history of heart attack, stroke, or irregular heartbeat

• Experience low blood pressure or episodes of dizziness

• Are taking alpha-blockers or medications for high blood pressure or prostate issues

• Have anatomical deformities of the penis (e.g., Peyronie's disease)

• Have a history of eye conditions such as retinitis pigmentosa

Provide your full medical history and a complete list of medications to your Wellcore provider before starting treatment.

Common Side Effects May Include:

• Headache

• Facial flushing

• Nasal congestion or runny nose

• Indigestion

• Back pain or muscle aches (often delayed, appearing 12–24 hours after dosing)

• Mild dizziness

These effects are generally temporary and may improve with continued use. To reduce the risk of side effects, avoid alcohol and large meals before dosing.

Rare But Serious Side Effects (Seek Immediate Medical Attention):

• Sudden vision or hearing loss

• Erection lasting more than 4 hours (priapism)

• Chest pain, shortness of breath, or fainting

Do not take more than one dose in a 24-hour period. If you experience serious symptoms, discontinue use and seek emergency medical care.

Disclaimer: These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.