What are the disadvantages of tadalafil?
Tadalafil is a commonly used medication for erection problems, but it has some drawbacks. It is not suitable for people with serious heart or liver disorders and may cause interactions with other medications, such as nitrates. It offers no permanent solution, as it treats symptoms effectively but does not address the cause. Common side effects include headache, flushing, nasal congestion, and upset stomach. At Fellos, we can help you use tadalafil safely.
What are the disadvantages of tadalafil?
Tadalafil is worldwide after Sildenafil (the active substance in Viagra) is the most commonly used medication for erection problems. And while safe and effective, there are some drawbacks to using tadalafil.
For example, the medicine is not suitable for everyone. People with certain health conditions, such as serious heart or liver disease, may be at risk when taking tadalafil. In addition, tadalafil may interact with other medications, such as nitrates, that are used to treat heart problems.
Another disadvantage is that tadalafil does not offer a permanent solution. The medicine treats the symptoms of erection problems, but often does not address the possible underlying cause. If erection problems are caused by psychological factors, tadalafil offers an effective solution only when used.
Common side effects of tadalafil
As with any medicine, the use of tadalafil may cause side effects. For almost all users, these side effects are mild and short-lived. The most common complaints are as follows:
- Headaches
- Blush
- A stuffy nose
- Upset stomach.
In very rare cases, more severe side effects may occur, such as a sudden drop in blood pressure (when tadalafil is used in combination with nitrates) or prolonged muscle pain. It is important to take these symptoms seriously and to consult a doctor if symptoms persist.
How long can you take tadalafil?
There is no limit to how long tadalafil may be used. However, it is important to use tadalafil under the supervision of a doctor. Without medical guidance, you may increase the risk of side effects or decrease in effectiveness. When you use tadalafil 10mg or 20mg, you can take a tablet no more than once every 36 hours. After these 36 hours, you could take another tablet. Fellos recommends not taking more than 3 tablets per week. At Fellos, you can always contact your doctor to discuss any questions you may have about using your medication safely.
Contraindications for certain groups
Tadalafil is safe to use, but some groups need to be careful or avoid use. People with serious heart problems, for example, if you have recently had a heart attack or stroke, are at increased risk of taking tadalafil. The same goes for people with liver or kidney problems, as their bodies may have more trouble breaking down the medicine.
In addition, use is not recommended for people who take nitrate medication every day. The combination of tadalafil and nitrates may lead to risky low blood pressure. Check with Fellos our doctors and always check whether tadaladil is safe to use in your specific case. If you have additional questions, you can ask your doctor about them during the intake.
Is tadalafil safe to use?
Tadalafil is considered safe and reliable. Also scientific research such as this study published in the British Journal of Urology, indicates that tadalafil is an effective treatment and is well tolerated. Tadalafil has also been approved by the controlling and supervisory authorities such as the European EMA (European Medicines Agency), the Dutch CBG (Medicines Evaluation Board) and the American FDA (Food and Drug Administration). Worldwide, tadalafil is often prescribed by doctors and urologists, who consider it a reliable and effective treatment for erection problems. It's after sildenafil therefore the erectile drug used worldwide.
Fellos supports the safe use of erection drugs
Tadalafil offers a valuable solution for many men when erection problems, but it is important to be aware of the possible disadvantages. At Fellos, we ensure that we always provide you with good information and you can contact our medical team and your very own Fellos doctor.
Any more questions? Start your intake and ask one of our doctors.
Fellos adheres to strict editorial guidelines for sources to ensure the accuracy and timeliness of our content. Our content is based on scientific publications, research from academic institutions, and reputable medical organisations. If you notice an error, please let us know at care@fellos.nl.
This article is intended for informational purposes only and does not constitute medical advice. The information herein is not a substitute for professional medical advice and should never be relied upon. Always discuss the risks and benefits of any treatment with your doctor.
This content was last updated on
25/1/2026

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