ومع ذلك، يعد هذا الاستخدام غير مصرح به (أي لم تتم الموافقة عليه من قبل إدارة الغذاء والدواء).
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يستخدم التادالافيل بحذر تحت إشراف الطبيب في الحالات الآتية:
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