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In some patients more serious adverse effects have been reported that include sudden hearing loss, heart attack and stroke and priapism which is where the erect penis does not return to its flaccid state and can be a very serious and painful condition. If any of the more serious effects occur, patients should discontinue their use of Sildamax and seek immediate medical attention.Sildenafil Citrate , Tadalafil provided by the Allecra healthcare,it is a leading healthcare company in all over the world.Sildamax 100mg are very safe to use with problems such as ED other known as Erectile Dysfunction. Sildamax and Tadalafil tablets contain the same active ingredient as Viagra®.