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In some patients, concomitant use of these two drug classes can lower blood pressure significantly [see Drug Interactions 7. Safety of combined problems with erection of PDE5 genital and alpha blockers may be affected by other variables, including intravascular volume depletion and use of other antihypertensive drugs [see Drug Interactions 7. Use with Alcohol Both alcohol and tadalafil are mild vasodilators.

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If coadministered, monitor for tamsulosin toxicities. Monitor for antimycobacterial activity and consider therapeutic drug monitoring.

In cases where an interacting drug needs to be replaced with an alternative, providers should exercise their clinical judgement to select the most Sexual Dysfunction alternative medication to use. Note: DLV is not included in this table.

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