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Common side effects of Tadalis SX may include headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. More severe side effects are rare but can include sudden vision loss or hearing loss. If you experience any concerning side effects, seek medical attention promptly.As with any medication for ED, it's essential to consult with a healthcare provider before starting Tadalis SX to ensure it's safe and appropriate for you, especially if you have any underlying health conditions or are taking other medications.