Tadalista 10 mg should not be combined with nitrates (used for chest pain) or certain alpha-blockers, as this can cause a dangerous drop in blood pressure. Alcohol should be limited because it can increase dizziness and reduce effectiveness. Men with heart disease, low blood pressure, severe liver or kidney problems, or a history of stroke should consult a healthcare provider before use. It may interact with antifungal drugs (like ketoconazole), antibiotics (like erythromycin), and HIV protease inhibitors (like ritonavir), which can increase tadalafil levels in the blood.

https://www.genericday.com/tadalista-10-mg.html