Toptada 10 medicine isn't intended to be used by women and men should avoid using the other medicines to treat impotence without speech a doctor. It may be dangerous to require it together with medicines called nitrates (often given for chest pain). don't take this medicine if you have got severe heart or liver problems, if you've got recently had a stroke or attack or if you have got low vital sign. Let your doctor know if you suffer from these or the other health problems before taking it. you must not drive if this medicine causes you to feel dizzy. Avoid drinking alcohol while taking this medicine because it can result in side effects.