Vidalista 20mg tablet is a generic brand name of its active ingredient, tadalafil. This medicine is used primarily to treat male sexual function problems, such as impotence or erectile dysfunction (ED), among men aged 18 years and over. It is also used  to treat the symptoms of benign prostatic hyperplasia (BPH). It helps to relieve symptoms of BPH, such as difficulty in beginning the flow of urine, weak stream, and the need to urinate frequently or urgently (including during the middle of the night).

Furthermore, it is also used to improve the ability to exercise in people with pulmonary arterial hypertension (PAH), or high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness.

What does Tadalafil (Vidalista) 20mg contain?

Vidalista includes the acitve ingredient tadalafil, which belongs to a category of drugs known as phosphodiesterase type 5 agents.

How does Tadalafil (Vidalista) 20mg work?

It works to treat erectile dysfunction by increasing blood flow to the penis during sexual stimulation. This increased blood flow can cause an erection.

In treating Pulmonary Arterial Hypertension (PAH), it acts by relaxing the blood vessels in the lungs to allow blood to flow more easily.

For BPH, effects of PDE-5 inhibition results in decreased bladder nerve activity, and increased smooth muscle relaxation and blood perfusion of the bladder and prostate.

Who cannot take Tadalafil (Vidalista) 20mg?

This medication is not suitable for everyone. It is not recommended for the following patients:

• Children below 18 years old

• Women (not for ED and BPH)

• Allergic to  tadalafil or any of its ingredients

• Chest pain during sexual activity

• Have a history of heart attack in the last 90 days or heart failure or stroke in the last 6 months

• Uncontrolled hypertension or heart rhythm problems

• Have a history of eye problem/vision loss due to poor circulatio

• Concurrent use of drugs that cause vasodilation (e.g. nitrates and nitrite poppers)

• Concurrent use of riociguat medicine for the treatment of arterial blood pressure

How should you take Tadalafil (Vidalista) 20mg?

It’s important to take this medicine as advised by a doctor. For ED, the usual dose is 10mg once daily at least 30 minutes before sex, but it can be increased to 20mg or decreased to 5mg once a day depending on your response and tolerability.

You’ll need to be sexually excited for the tablet to work properly. It is usually taken 5 mg once daily at the same time each day.

For men being treated for both BPH and ED, the usual dose is 5 mg once daily, taken at the same time each day and without regard to the timing of sexual activity.

You may view Additional Information tab for recommended dosage.

Remember, do not take it more than once a day. Swallow your tablets whole with water. It can be taken with or without food.

What if you miss a dose?

If you miss a dose, take it as needed. Otherwise, just skip the missed dose and go back to your regular dosing schedule. Never take 2 doses at the same time. Never take an extra dose to make up for a forgotten one.

What if you take too much?

Taking too much tadalafil can cause side effects, including:

• Headache

• Dizziness

• Indigestion

• Stuffy nose

• Changes to your vision
  (such as blurred vision)

What are the side effects of Tadalafil (Vidalista) 20mg?

This drug is well tolerated, but some may experience side effects, especially those who take it at higher doses. These are mild to moderate and decrease in frequency with continued treatment. 

• Headache

• Indigestion 

• Back pain

• Stuffy/runny nose

• Flushing

Serious side effects may occur but are rare, occurring in less than 1 in 1,000 people. Urgent medical care should be sought when you experience any of the following symptoms: 

• An erection that is painful and lasts for more than 4 hours, or priapism

• Sudden decrease in vision

• Sudden decrease in hearing, sometimes with ringing in the ears

• Allergic reaction

• Chest pain during and after sex

What other precautions should be taken?

Children

Use of tadalafil tablet is not indicated for use in the pediatric population. Safety and efficacy have not been established.

Elderly

Caution is needed when used among elderly patients because they are more sensitive to the effects of this medicine than younger adults.

Pregnancy

Erectile Dysfunction (ED) and Benign Prostatic Hyperplasia (BPH): This drug is not indicated for use in women for such indications.

Pulmonary Arterial Hypertension (PAH): This drug should be used only if clearly needed. According to some authorities, use of this medication should be avoided.

Breastfeeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug-Drug interactions

Caution must be exercised by patients who have the following conditions. Dose adjustments and more frequent monitoring are needed. Inform your doctor if you have:

• Hereditary degenerative retinal disorders (e.g. retinitis pigmentosa)

• Heart disease

• Deformity of the penis (e.g. Peyronie’s disease)

• Blood disorder (e.g. sickle cell anemia, multiple myeloma, leukemia)

• Stomach ulcer

• Diabetes

• Hypertension

• Hyperlipidemia (excess of fats or lipids in the blood)

• Liver disease

• Kidney disease

Drug-Drug interactions

Some  medicines affect how tadalafil works and vice versa. Inform your doctor if you are taking any of these medications:

• Antihypertensives and α-blockers (e.g. doxazosin, prazosin, terazosin)

• Azole antifungals: Itraconazole and ketoconazole

• Antibiotics: Erythromycin, clarithromycin, rifampicin

• Anti-HIV drugs: Ritonavir, saquinavir

• Anti-epileptics: Phenobarbital, phenytoin, carbamazepine

• Anti-asthma: Theophylline

• Potentially Fatal: Any form of nitrates and riociguat

Alcohol/Marijuana

Intake of alcohol and marijuana is not advised due to increased risk of orthostatic hypotension (form of low blood pressure that happens when standing after sitting or lying down).

Driving

It is advised not to drive if you are experiencing the side effect of sudden loss of vision.

Diet and Lifestyle

Some lifestyle habits are highly associated with ED, such as smoking, alcohol abuse, physical inactivity, and stress. So, making healthy lifestyle behavior changes may reduce your ED symptoms.

Avoid drinking grapefruit juice while using this medication as it may increase adverse effects.

How should you store Tadalafil (Vidalista) 2omg?

• Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
• Keep out of the reach of children.
• Do not keep outdated medicine or medicine no longer needed.
• Ask your healthcare professional how you should dispose of any medicine you do not use.

Quick Tips

• For the drug to work, you have to be sexually stimulated.
• Do not take the drug more than once a day.
• Tell your doctor that you take tadalafil. If you need emergency care for a heart problem, it will be important for your healthcare provider to know when you last took this drug.
• If you are using this medication for ED, avoid taking other drugs for ED. The safety and effectiveness of tadalafil when used with other treatments has not been studied. Combined use could lead to additional lowering of blood pressure, possibly to unsafe levels. 
• Always discuss with your healthcare provider all the medications you are taking, including prescription-only, over-the-counter, and supplements to avoid any drug interaction.

What company produces Tadalafil (Vidalista) 20mg?