Certain substances and medications should not be combined with Direct Max 3-in-1 (Apomorphine, Sildenafil, & Tadalafil).

Do not use this medication if you take:

• Nitrates for chest pain (such as nitroglycerin or isosorbide medications)

• Recreational nitrates (such as amyl nitrate or “poppers”)

• Riociguat (Adempas)

Use caution and consult your provider if you take:

• Alpha-blockers

• Certain antifungal medications

• HIV protease inhibitors

• Erythromycin

• Trazodone

• Other medications that affect blood pressure

Excess alcohol may increase the risk of dizziness or low blood pressure.

Always inform your healthcare provider of all prescription medications, over-the-counter medications, and supplements you are taking before starting treatment.

Compounded medications are not FDA-approved. They are prepared by licensed compounding pharmacies under medical supervision and may differ in formulation, dosing, and supporting evidence from FDA-approved products.

This article is for general informational purposes only and does not provide medical advice, diagnosis or treatment for any specific person.