A 48-year-old man, using statin, was admitted heucherella eye spy to hospital with progressive myalgia after consumption of tadalafil and simvastatin.Muscle pain and penile erection disappeared seven days after interruption of therapy.This case demonstrates the interaction of tadalafil with simvastatin resulting in myopathy.Muscle damage could be attributed to the 14-dq5145cl common metabolic way of these two drugs which is cytochrome P450 isoenzyme system.