Some medical conditions and symptoms that may predispose someone to adverse effects from tadalafil include heart problems like heart failure or a previous heart attack, angina or chest pain, irregular heartbeats, high or low blood pressure, retinitis pigmentosa a rare genetic eye disease , pulmonary hypertension, stroke, liver disease, kidney disease, severe vision loss, stomach ulcers, bleeding problems, deformed penis shape or Peyronie s disease, experience with erections lasting more than 4 hours, or blood cell disorders like sickle cell anemia, multiple myeloma, or leukemia
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