Vidalista 10 mg (tadalafil) may need to be avoided or used only with medical advice in some people with heart disease, especially when there is a risk from changes in blood pressure or from ***** activity itself. Avoid or seek medical clearance before using Vidalista 10 mg if you have: Recent heart attack or stroke (especially within the past few months) Unstable angina (chest pain that is new, worsening, or unpredictable) Severe heart failure or uncontrolled heart rhythm problems Very low blood pressure or uncontrolled high blood pressure A doctor’s advice to avoid ***** activity because of your heart condition Do not take Vidalista with nitrate heart medicines, such as: Nitroglycerin Isosorbide mononitrate or isosorbide dinitrate The combination can cause a dangerous drop in blood pressure. Also tell your doctor if you take: Alpha-blockers (some prostate or blood pressure medicines) Multiple blood pressure medicines Certain heart medications If you have stable, well-controlled heart disease, tadalafil may be suitable for some people, but it should be assessed based on your individual condition and medications. If you tell me your heart condition (for example, high BP, stent, bypass surgery, heart failure, or past heart attack) and your medicines, I can help identify common concerns to discuss with your doctor.