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Sildalist is a combination medication that contains two active ingredients: sildenafil citrate and tadalafil. Both sildenafil and tadalafil are phosphodiesterase type 5 (PDE5) inhibitors used to treat erectile dysfunction (ED). While these medications are generally safe and effective when used as directed, there can be potential side effects associated with long-term use of Sildalist or any medication containing sildenafil and tadalafil.

Here are some potential side effects of long-term Sildalist use:

Cardiovascular effects: Both sildenafil and tadalafil can cause a temporary decrease in blood pressure, which may lead to symptoms such as dizziness, lightheadedness, fainting, or even heart attack or stroke, especially in individuals with pre-existing cardiovascular conditions.

Vision changes: Some individuals Sildalist experience temporary changes in vision, such as blurred vision, sensitivity to light, or changes in color vision. In rare cases, sudden loss of vision in one or both eyes (non-arteritic anterior ischemic optic neuropathy) may occur.

Hearing loss: Sildenafil and tadalafil have been associated with reports of sudden hearing loss or ringing in the ears (tinnitus). While these side effects are rare, they can occur, and individuals experiencing any changes in hearing should seek medical attention immediately.

Priapism: Priapism is a rare but serious side effect characterized by a painful and prolonged erection lasting more than four hours. It requires immediate medical attention to prevent permanent damage to the penis.

Digestive issues: Common digestive side effects of sildenafil and tadalafil include indigestion, heartburn, nausea, and diarrhea.

Headache and flushing: Headache and facial flushing are common side effects of sildenafil and tadalafil, particularly in higher doses.

Muscle and back pain: Some individuals may experience muscle aches or back pain while taking sildenafil or tadalafil.

Allergic reactions: Rarely, individuals may experience allergic reactions to sildenafil or tadalafil, including rash, itching, swelling of the face, lips, or tongue, and difficulty breathing.

It's important to note that these side effects are not exhaustive, and individual experiences may vary. Additionally, long-term use of Sildalist or any medication containing sildenafil and tadalafil should be done under the supervision of a healthcare professional. It's essential to follow the prescribed dosage and instructions for use and to discuss any concerns or side effects with a doctor.