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Patients taking tadalafil should be advised to: Call 999 or attend A&E immediately if experiencing: Chest pain or tightness , particularly if radiating to the arm, jaw, or back Severe shortness of breath or difficulty breathing Fainting (syncope) or severe dizziness Contact your GP urgently if you experience: Persistent or severe palpitations lasting more than a few minutes Irregular heartbeat or a sensation of skipped beats Sudden onset of palpitations accompanied by sweating, nausea, or anxiety These symptoms may indicate underlying cardiac arrhythmias , myocardial ischaemia , or other serious cardiovascular events requiring assessment

Bacteriostatic water itself causes very few side effects

Controlled handling during preparation and documentation