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Tadalafil and Nitrates: Why the Mix Is Dangerous

Quick answer

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

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The brand render of three bottles. Stallion Power is a supplement and is not tadalafil.

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.

What to ask before any ED product, from MedlinePlus.
QuestionWhy 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.

1. Do you take nitrates (such as nitroglycerin), or a prescription for blood pressure, heart disease, erectile dysfunction or blood thinning?
2. Do you have heart disease, chest pain, low blood pressure, or have you been told to avoid sexual activity for heart reasons?
3. Are you under 18, or buying for someone who is?
4. Do you have liver, thyroid or kidney disease, or diabetes?
5. Are there children in your home?
Answer all fiveYour result shows here. It is a checklist, not medical advice.

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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Hidden drugs04

Can hidden tadalafil in supplements be dangerous with nitrates?

Yes, if a product secretly holds it. That is the point of FDA's warnings.

FDA says sexual enhancement products are likely to be contaminated with hidden drugs (FDA, Tainted sexual enhancement products). A person on nitrates would not know to avoid it.

We have not tested Stallion Power and no lab report is published. We do not say it contains a drug. If you take nitrates, ask your doctor before any male enhancement product.

If it happens05

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.

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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

Written byThe Stallion Power label deskStallionpowermen, USA stocking retailer for Stallion Power

Pages built from the label, the sales page and linked NIH, FDA, CDC, FTC and peer-reviewed sources.

Medically reviewed byDr. Casey McCraw, MD, PhysicianRole: Medical reviewerReview date: October 19, 2026

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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