Extra Super Vidalista, which contains a combination of Tadalafil (20 mg) and Dapoxetine (60 mg), is used to treat both erectile dysfunction (ED) and premature ejaculation (PE). However, certain individuals should avoid taking this medication or use it with caution:

Individuals with Cardiovascular Conditions: Those with severe heart conditions, recent heart attack or stroke, or severe arrhythmias should avoid this medication. Both Tadalafil and Dapoxetine can affect blood pressure and heart function.

People with Severe Liver or Kidney Disease: Since both Tadalafil and Dapoxetine are metabolized by the liver and kidneys, individuals with severe liver or kidney disease may not be able to process these medications properly, increasing the risk of side effects.

Patients on Nitrates: Those taking nitrate medications for angina or other heart conditions should avoid Extra Super Vidalista. The combination can cause a dangerous drop in blood pressure.

Individuals with a History of Priapism: Those who have had priapism (prolonged, painful erections) should be cautious as PDE5 inhibitors like Tadalafil can exacerbate this condition.

People with Certain Mental Health Conditions: Since Dapoxetine is a selective serotonin reuptake inhibitor (SSRI), individuals with bipolar disorder or those taking other medications that affect serotonin levels should use it with caution due to the risk of serotonin syndrome.

Patients with Allergies or Sensitivities: Those who are allergic to Tadalafil, Dapoxetine, or any other ingredients in the medication should avoid taking it.

Men with Severe Penile Deformities: Those with severe penile deformities or conditions such as Peyronie’s disease should consult their healthcare provider before using this medication.

Always consult a healthcare provider before starting any new medication to ensure it is safe based on your personal health history and current medications.