Tadalafil contraindications include severe heart disease, recent stroke, and hypotension. Erectile dysfunction age varies significantly, affecting quality of life and intimacy. A range of factors such as hormonal shifts and lifestyle influence this condition. Treatments are widely accessible, and us pharmacies offer both the original drug and generic sildenafil to enhance therapeutic options for patients experiencing these challenges. Usage requires caution, particularly because the combination of original cialis and alcohol is not safe, leading to potential adverse effects. Consult your physician before starting any medication regimen.