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Instructions for use Always use the product exactly as your doctor or pharmacist told you Caveats and precautions Tadalafil 5 mg should be used with caution in the following cases - If you are taking nitrates such as nitroglycerine, as this medicine increases the possibility of hypotension Tell your doctor if you are taking medicines for high blood pressure or medicines to treat low blood pressure side effects Redness of the face - muscle pain - fatigue and stress - headache - nasal congestion - nausea - drop in blood pressure - blurred vision Stop using this product and seek immediate medical help if you develop any of the following conditions: rash Tightness in the chest or throat Difficulty breathing, swallowing or speaking Swelling of the mouth, face, lips, tongue, or throat Contraindications to the use of the drug Do not use this product if: You are allergic to any of its ingredients Heart problems or heartbeat Previous heart attack or stroke Angina pectoris Preservation and storage Store at room temperature (20 to 25C)

Second, Adenosylcobalamin is a co-enzyme for the conversion of L-methylmalonyl-CoA into succinyl-CoA which feeds into the citric acid cycle