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When taking Extra Super Vidalista, which is a medication used to treat erectile dysfunction and contains tadalafil and dapoxetine, it's important to inform your doctor about any health changes or new symptoms, especially in the following situations: Cardiovascular Issues: If you experience chest pain, shortness of breath, or an irregular heartbeat, contact your doctor immediately. Allergic Reactions: If you notice signs of an allergic reaction (such as rash, itching, swelling, or difficulty breathing), inform your healthcare provider right away. Mood Changes: Since Extra Super Vidalista is a selective serotonin reuptake inhibitor (SSRI), if you experience mood swings, depression, or suicidal thoughts, seek medical advice promptly. Changes in Vision or Hearing: If you notice sudden vision changes (like loss of vision in one or both eyes) or hearing changes (like ringing in the ears or sudden hearing loss), you should inform your doctor. Severe Side Effects: If you experience side effects such as persistent nausea, vomiting, or severe headache, it’s important to let your healthcare provider know. Medical Conditions: If you develop new medical conditions or if existing conditions worsen, especially related to the heart, liver, or kidneys, inform your doctor. Drug Interactions: If you start taking any new medications or supplements, notify your healthcare provider to avoid potential drug interactions. Regular communication with your doctor about your health status can help ensure the safe and effective use of the medication.