Tadacip 20 mg contains tadalafil, which is a phosphodiesterase type 5 (PDE5) inhibitor used to treat erectile dysfunction (ED) in men. There are certain contraindications and medical conditions for which the use of Tadacip 20 mg should be avoided or approached with caution. It's important to consult with a healthcare provider before using this medication, especially if you have any preexisting medical conditions. Here are some contraindications and medical conditions to consider:

Nitrates: Tadacip 20 mg online should not be taken in combination with nitrates, which are medications used to treat chest pain (angina) and certain heart conditions. The combination of tadalafil and nitrates can cause a severe drop in blood pressure, which can be life-threatening.
Severe Cardiovascular Conditions: Individuals with severe heart conditions, recent heart attack or stroke, or uncontrolled heart rhythm disturbances should avoid using Tadacip 20 mg. This medication can affect blood pressure and cardiovascular function.
Hypotension (Low Blood Pressure): Tadalafil can cause a decrease in blood pressure. If you have low blood pressure or a history of hypotension, you should use Tadacip 20 mg with caution.
Uncontrolled Hypertension (High Blood Pressure): If you have uncontrolled high blood pressure, the use of Tadacip 20 mg may not be recommended. It's important to have your blood pressure under control before considering the use of this medication.
Vision and Hearing Issues: Tadalafil has been associated with rare cases of vision and hearing disturbances. If you have a history of vision or hearing problems, consult your healthcare provider before using Tadacip 20 mg.
Hereditary Degenerative Retinal Disorders: Tadalafil can affect the eyes, particularly in individuals with certain hereditary degenerative retinal disorders. If you have a history of retinitis pigmentosa or other similar conditions, you should discuss this with your healthcare provider before using tadalafil.
Priapism: Tadalafil has been associated with a rare condition called priapism, which is a prolonged and painful erection. Individuals with a history of priapism or conditions predisposing them to priapism should use Tadacip 20 mg with caution.