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What is Vidalista 20 patient precautions list?

Vidalista 20 contains tadalafil 20 mg, a medicine used to treat erectile dysfunction (ED). Here are the main patient precautions: Before taking Vidalista 20 Do not take it if you use nitrates (such as nitroglycerin or isosorbide) for chest pain. Combining these medicines can cause a dangerous drop in blood pressure. Tell your doctor if you have: Heart disease, recent heart attack, stroke, or irregular heartbeat. High or low blood pressure. Liver or kidney disease. A history of vision or hearing problems. Blood disorders such as sickle cell disease, leukemia, or multiple myeloma. A penile deformity or a history of prolonged erections. Medicine interactions Avoid taking Vidalista 20 with: Nitrate medicines. Riociguat. Some alpha-blockers used for enlarged prostate or high blood pressure unless specifically advised by your doctor. Certain antibiotics, antifungals, HIV medicines, and other drugs that affect tadalafil levels. Alcohol and food It can be taken with or Vidalista 20 food. Limit alcohol. Heavy drinking can increase the risk of dizziness, low blood pressure, and make it harder to achieve an erection. Use instructions Take only as prescribed. A 20 mg tablet is generally intended for as-needed use, not more than once in 24 hours. Take it about 30 minutes before sexual activity. The effect may last up to 36 hours, but this does not mean the erection lasts that long. Sexual stimulation is still needed. Seek immediate medical care if you have Chest pain during or after sexual activity. An erection lasting more than 4 hours (priapism). Sudden loss or decrease of vision. Sudden hearing loss or ringing in the ears. Signs of a severe allergic reaction (rash, swelling, or difficulty breathing). Common side effects These are usually mild and temporary: Headache Flushing Indigestion Nasal congestion Back pain Muscle aches If you have heart disease, take medicines for blood pressure, or have kidney or liver disease, it's especially important to discuss whether 20 mg is the right dose for you before using it.