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Tadalafil and Nitrates: Why the Mix Is Dangerous
Tadalafil and nitrates should not be taken together. Tadalafil is a prescription ED medicine, and nitrates are heart medicines, such as nitroglycerin, that also relax blood vessels. MedlinePlus says a doctor will probably tell you not to take tadalafil with nitrates. Always tell your prescriber and pharmacist what you take.
Written by the Stallion Power label deskUpdated · 5 min read

The warning01
Why can't you take tadalafil with nitrates?
Both relax blood vessels, and together they can push blood pressure dangerously low.
MedlinePlus says your doctor will probably tell you not to take tadalafil if you take nitrates, or the medicine riociguat (MedlinePlus, Tadalafil). The warning for sildenafil is the same (MedlinePlus, Sildenafil).
A sharp drop in pressure can cause dizziness, fainting or worse. That is why the warning is firm and not a matter of preference.
The list02
Which medicines are nitrates?
Nitrates are medicines for chest pain from heart disease, such as nitroglycerin and isosorbide.
MedlinePlus names nitroglycerin and isosorbide dinitrate or mononitrate (MedlinePlus, Sildenafil). The warning also covers nitrate street drugs sold as "poppers" (MedlinePlus, Tadalafil).
If a drug name is unfamiliar, ask your pharmacist whether it is a nitrate.
| Question | Why it matters |
|---|---|
| Do I take a nitrate? | Tadalafil and sildenafil are not combined with nitrates (MedlinePlus, Sildenafil) (MedlinePlus, Tadalafil) |
| Do I use poppers? | They count as nitrates for this warning (MedlinePlus, Tadalafil) |
Supplements03
Do supplements add to the nitrate and tadalafil risk?
Some can. L-arginine may lower blood pressure, and Mayo Clinic says using it with nitrate medicine or sildenafil might drop pressure too low (Mayo Clinic, L-arginine).
Stallion Power lists L-arginine in its 82 mg blend. By our arithmetic from the label order, not a lab test, it holds 5 mg or less per gummy, far below gram-level trial doses (Rhim 2019, arginine and ED meta-analysis). The label asks anyone taking medications to consult a doctor, and a nitrate prescription is exactly that case.

Stallion Power: from $49 a bottle30 gummies · 2, 3 or 6 bottles · free shipping on 3 or 6 · 60-day guarantee
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What should you do if you took both by mistake?
Call your doctor or Poison Help at 1-800-222-1222, and call 911 for chest pain, fainting or severe dizziness.
An erection lasting more than four hours needs the emergency room (MedlinePlus, Tadalafil). Keep taking prescribed medicine, and tell the care team what you took. The side effects page has more.
Want to try Stallion Power? Both packs ship free, and both come with the 60-day guarantee (all bottles returned, even empty ones).


Prices on the sales page, October 18, 2026 (Stallion Power sales page). Check your medicines with your doctor first.
FAQ06
Stallion Power questions people ask
Can I take tadalafil if I use nitroglycerin only sometimes?
Ask your prescriber. MedlinePlus says your doctor will probably tell you not to take tadalafil with nitrates (MedlinePlus, Tadalafil), and occasional use is still nitrate use.
How long after a nitrate can I take tadalafil?
We give no timing, because it depends on the drug and your health. Only your prescriber or pharmacist can answer, so ask before taking either.
Is L-arginine a nitrate?
No. It is an amino acid, but the body can make nitric oxide from it, and Mayo Clinic warns it may lower pressure with nitrates (Mayo Clinic, L-arginine). Ask your doctor first.
What are signs of dangerously low blood pressure?
Dizziness, lightheadedness when standing, fainting, or blurred vision. These need medical attention, and fainting or chest pain needs 911. Sit or lie down while you wait for help.
Who wrote this07
Written and reviewed by
Pages built from the label, the sales page and linked NIH, FDA, CDC, FTC and peer-reviewed sources.
Last updated . Read our editorial standards and how we check reviews. This website is run by Stallionpowermen, a USA stocking retailer for Stallion Power, not by the manufacturer or the distributor. We are paid a commission when you buy through our order links.
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