Tadalista 60 should be used with a doctor's prescription. Tadalista 60 is a brand of tadalafil, a medicine used to treat erectile dysfunction (ED). Indian regulations require prescription medicines covered by Schedule H to be dispensed according to a registered medical practitioner's prescription. Press Information Bureau +1 Important safety points: 60 mg is a high dose for erectile dysfunction and exceeds the usual maximum recommended as-needed dose of tadalafil (20 mg). Do not take it without medical advice, even if a pharmacy or website offers it without a prescription. Never combine tadalafil with nitrate medicines, such as nitroglycerin, because your blood pressure could drop dangerously. Are you considering Tadalista 60 for erection problems, or are you looking for a lower-dose option? I can explain the usual dosing and safety differences.