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The most common side effects of Tadalafil are: headache, flushing, upset stomach, abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision, stuffy or runny nose, back pain, muscle pain, nausea, dizziness, and rash. If you experience chest pain, dizziness, fainting, palpitations, difficulty moving the arms or legs, or nausea during sex or within 4 hours of taking Tadalafil, seek immediate medical help.