1. Men on Nitrate Medications:
   
   • Nitrates used to treat chest pain or heart problems can interact with Tadalafil and cause a dangerous drop in blood pressure.
2. Those with Severe Health Conditions:
   
   • Individuals with heart, liver, or kidney issues should avoid Extra Super Vidalista unless otherwise advised by a doctor.
3. Allergic Reactions:
   
   • Do not use if allergic to Tadalafil, Dapoxetine, or any other ingredients in the tablet.
4. Women and Children:
   
   • Extra Super Vidalista is designed for men only and should not be used by women or individuals under 18 years of age.

Potential Side Effects of Extra Super Vidalista

• Mild Side Effects:
  
  • Headaches
  • Dizziness
  • Flushing
  • Nasal congestion
  • Stomach discomfort or indigestion
• Serious Side Effects (Rare):
  
  • Prolonged erection (priapism) – Seek medical help immediately if an erection lasts longer than 4 hours.
  • Vision or hearing loss – Rare but serious side effects requiring immediate medical attention.
  • Heart-related symptoms – Chest pain, irregular heartbeat, or difficulty breathing should be addressed immediately.

Precautions and Warnings

1. Alcohol Consumption:
   
   • Excessive alcohol intake can enhance side effects like dizziness, low blood pressure, and headaches. It’s best to consume alcohol in moderation.
2. Drug Interactions:
   
   • Always inform your doctor about any other medications you're taking, particularly those for heart conditions, hypertension, or psychiatric disorders.
3. Avoid Overuse:
   
   • Do not take more than one tablet in 24 hours to avoid severe side effects.