Quote from Ronymeran on August 1, 2023, 4:59 am

1. Tolerance: With long-term use, some individuals may develop a tolerance to tadalafil, meaning that the initial dose may become less effective over time. If this occurs, a healthcare provider may need to adjust the dosage or recommend alternative treatments.
2. Dependency: Long-term reliance on tadalafil to achieve or maintain an erection may lead to psychological dependency on the medication, potentially affecting the individual's confidence in their natural ability to perform sexually.
3. Side Effects: Tadalafil, like other PDE5 inhibitors, can cause side effects. While most side effects are mild and transient, long-term use may increase the likelihood of experiencing side effects such as headaches, dizziness, flushing, nasal congestion, and back pain.
4. Cardiovascular Effects: Tadalafil may cause a temporary decrease in blood pressure, which is generally well-tolerated in most individuals. However, it is essential to use caution in individuals with pre-existing cardiovascular conditions, as long-term use may pose additional risks.
5. Vision and Hearing Issues: In rare cases, PDE5 inhibitors, including megalis 20 mg tablet, have been associated with visual disturbances and hearing loss. If any changes in vision or hearing occur during tadalafil use, seek medical attention immediately.
6. Priapism: Priapism is a prolonged and painful erection that lasts for more than four hours and requires immediate medical attention. Although uncommon, long-term use of tadalafil may increase the risk of developing priapism.
7. Interaction with Other Medications: Tadalafil can interact with certain medications, especially nitrates and alpha-blockers, potentially leading to adverse effects. It is essential to inform your healthcare provider about all medications you are taking to avoid potential drug interactions.