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Vidalista 60 mg is considered a high-strength dose and is generally prescribed for men who have not achieved satisfactory results with lower doses of tadalafil. Because of its potency, it should only be used under the guidance of a qualified healthcare provider. The medication is usually taken 30–60 minutes before sexual activity and may remain effective for up to 36 hours. This extended duration provides greater flexibility compared with some other ED medications. Sexual arousal is still necessary for the drug to work.