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Common side effects may include headache, back pain, muscle aches, flushing, indigestion, and nasal congestion. Serious side effects are rare but can include prolonged erections (priapism) or sudden vision or hearing loss.Before using Tadarise Pro 40 mg or any medication containing tadalafil, it's advisable to consult with a healthcare provider. They can evaluate your medical history, assess the appropriateness of the medication, and provide guidance on its usage.