While Vidalista 60 mg (containing tadalafil) is generally safe and effective for the treatment of erectile dysfunction (ED) in men, there are certain individuals who should not take this medication without consulting a doctor. It's important to seek medical advice before starting Vidalista 60 mg, especially if you have any pre-existing medical conditions or are taking other medications. Here are some situations in which caution or consultation with a doctor is warranted:

Cardiovascular conditions: Individuals with a history of heart disease, angina (chest pain), heart failure, arrhythmias (irregular heartbeats), or recent heart attack or stroke should consult their doctor before taking Vidalista 60 mg. This medication can lower blood pressure, and those with underlying cardiovascular conditions may be at increased risk of cardiovascular side effects.

Liver or kidney impairment: Vidalista 60 is metabolized in the liver and excreted by the kidneys. Individuals with severe liver or kidney impairment may have reduced clearance of the medication from their bodies, increasing the risk of side effects or toxicity. Dose adjustments may be necessary in these cases.

Hypotension (low blood pressure): Vidalista 60 mg can cause a temporary decrease in blood pressure, particularly when taken with other medications that lower blood pressure or with alcohol. Individuals with hypotension or those taking medications for high blood pressure should use Vidalista 60 mg with caution.

Penile deformities: Individuals with anatomical abnormalities of the penis, such as Peyronie's disease, may be at increased risk of priapism (prolonged erection) with medications like Vidalista 60 mg. Priapism is a medical emergency and requires immediate medical attention.

Bleeding disorders: Vidalista 60 mg can potentiate the antiplatelet effects of some medications, increasing the risk of bleeding in individuals with bleeding disorders or those taking anticoagulants.

Retinitis pigmentosa: Vidalista 60 mg may exacerbate symptoms of retinitis pigmentosa, a rare genetic eye disorder characterized by progressive vision loss. Individuals with this condition should use Vidalista 60 mg with caution and under the supervision of an ophthalmologist.

Current medications: Vidalista 60 mg may interact with certain medications, including nitrates used to treat chest pain and recreational drugs called "poppers" (amyl nitrite). It's essential to inform your doctor about all medications you are taking, including over-the-counter drugs and supplements, to avoid potentially harmful interactions.

It's important to consult a healthcare provider before taking Vidalista 60 mg, especially if you have any pre-existing medical conditions or are taking other medications. Your doctor can assess your individual risk factors and determine whether Vidalista 60 mg is safe and appropriate for you.