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Also, it may not be suitable for everyone, particularly those with a history of pancreatitis, severe gastrointestinal disease, a personal or family history of medullary thyroid carcinoma, or those with kidney or liver disease
Morand, E
If you take tadalafil for pulmonary arterial hypertension, do not take Cialis or other PDE5 inhibitors, including sildenafil (Revatio or Viagra) or vardenafil (Levitra)
What Remains Essential Regardless of Medication: Medical evaluation and ongoing supervision by licensed providers
These are not required, but they can optimize results
Therefore, if you are pregnant or breastfeeding, it is recommended to discuss it with your doctor before starting any treatment course
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