Vidalista 20 mg contains tadalafil, it generally does not need to be taken with food. It can be taken with or without meals, preferably with a glass of water. For erectile dysfunction, tadalafil is commonly taken before anticipated ***** activity, and ***** stimulation is necessary for it to work. Its effects can last for up to 36 hours, so it should not be taken more than once in a 24-hour period unless your healthcare professional specifically advises otherwise.

A 20 mg dose is generally the highest recommended on-demand dose for erectile dysfunction. It should not be combined with nitrate medicines such as nitroglycerin or isosorbide, or with recreational “poppers,” because this can cause a dangerous drop in blood pressure. If you develop chest pain, fainting, sudden vision or hearing changes, or an erection lasting longer than four hours, seek urgent medical attention.