Super Vidalista (commonly a combination of tadalafil + dapoxetine) may be suitable for some men with controlled high blood pressure, but it is not automatically safe for everyone with hypertension. A few key points: Tadalafil can slightly lower blood pressure because it relaxes blood vessels. For many people taking well-controlled blood pressure medicines, this effect is usually mild. Do not take Super Vidalista with nitrate medicines (such as nitroglycerin for chest pain), because the combination can cause a dangerous drop in blood pressure. Be cautious if you take alpha-blockers or multiple blood pressure medicines, as blood pressure may fall too low. Uncontrolled or severe high blood pressure, recent heart problems, or advice to avoid ***** activity due to heart risk should be discussed with a healthcare professional before using it.