If you have a history of stroke, Extra Super Vidalista tablets, which contain a combination of Tadalafil and Dapoxetine, may not be suitable without medical consultation. Here’s why:

1. Increased Risk of Cardiovascular Issues: Both Tadalafil (a PDE5 inhibitor) and Dapoxetine (a selective serotonin reuptake inhibitor) can have cardiovascular effects. Tadalafil can cause a temporary drop in blood pressure, which might be concerning for individuals with a history of stroke or cardiovascular issues.
   
2. Potential Drug Interactions: If you are taking medications for stroke prevention or other cardiovascular conditions, there could be interactions with the components of Extra Super Vidalista. It’s essential to review all medications with your healthcare provider.
   
3. Stroke Risk Factors: If you have underlying conditions that contributed to your stroke, such as hypertension or heart disease, managing these conditions is crucial. Medications like Extra Super Vidalista might affect blood pressure and cardiovascular health, so a healthcare provider needs to evaluate the overall risk.
   
4. Consultation with Healthcare Provider: Before using Extra Super Vidalista, consult with your healthcare provider, especially if you have a history of stroke. They can assess your overall health and determine if this medication is safe and appropriate for you.
   
5. Alternative Treatments: Depending on your health status, your healthcare provider may suggest alternative treatments for erectile dysfunction (ED) and premature ejaculation (PE) that are better suited to your medical history.
   

In summary, it is crucial to consult with your healthcare provider before taking Extra Super Vidalista or any similar medication if you have a history of stroke. They can help evaluate potential risks and determine the most appropriate and safe treatment options for your situation.