Men who take nitrate medications (such as nitroglycerin, isosorbide dinitrate, or isosorbide mononitrate) for chest pain or other heart conditions should never take Vidalista 40 mg, as the combination can cause a dangerous and sudden drop in blood pressure. Similarly, those with severe heart disease, a recent heart attack, stroke, or uncontrolled arrhythmias should avoid Vidalista unless cleared by a cardiologist.

For men with mild, stable heart conditions who are not on nitrates, Vidalista may be used safely under medical supervision. Some research suggests that Tadalafil may have benefits for certain heart and blood vessel conditions, but it must only be prescribed by a doctor.

If you have heart disease and are considering Vidalista, it is essential to undergo a full cardiovascular evaluation first. This ensures that your heart is strong enough for sexual activity and that the medication will not put you at risk.