cliffordfosterr
Member
Extra Super Vidalista, which contains tadalafil (20 mg) and dapoxetine (60 mg), should be used with caution in patients with kidney disease. Tadalafil is primarily excreted through the kidneys, and impaired kidney function can lead to slower elimination of the drug, increasing the risk of side effects like low blood pressure, headache, dizziness, and priapism (prolonged erections). Extra Super Vidalista, also metabolized in the liver and excreted by the kidneys, may accumulate in patients with moderate to severe renal impairment, heightening the risk of nausea, insomnia, or fainting. For patients with mild kidney disease, dose adjustment and close monitoring may be advised. However, those with severe kidney dysfunction or on dialysis are generally not recommended to use this medication without a doctor's supervision. Always consult a healthcare provider before using Extra Super Vidalista if you have kidney-related health issues to ensure safety and appropriate dosing.