Vidalista 20 Mg

Vidalista 20 is a tadalafil tablet made in India by Centurion Laboratories. Each tablet contains 20 mg of tadalafil, the same active ingredient and the same strength as Cialis 20 mg. We sell it in packs of 90, 120, 150 and 300 tablets, from $0.72 a tablet in the largest pack.

This page covers what you need before ordering: the price per tablet, which strength to choose, how to take it, the side effect data from the tadalafil label, who must not take it, and how delivery works. Clinical figures come from the US prescribing information for Cialis (tadalafil), listed at the end.

Vidalista 20 at a glance

Price per tablet

Prices below are as of September 2026. The pack selector above always shows the current price.

Shipping is free once an order reaches $149, so adding a second product to a 90, 120 or 150 pack order can remove the $25 fee. Check the expiry date on the strips when your order arrives and plan how many tablets you will realistically use before it.

Vidalista 20 compared with Cialis and US generics

Vidalista 20, Cialis 20 mg and FDA-approved generic tadalafil 20 mg all contain the same molecule at the same labelled strength. The difference is regulatory review: Cialis was approved on clinical trial evidence, US generics had to prove bioequivalence to it, and the FDA inspects manufacturing for both, while Vidalista has not been assessed by the FDA, MHRA, TGA or Health Canada. Price is the other difference.

The Cialis and US generic figures are what US pharmacies paid per tablet in September 2026 according to the Medicaid NADAC survey; the price at the counter is higher and depends on the pharmacy and your insurance. If you are in the US and have a prescription, compare cash prices for FDA-approved generic tadalafil before ordering. Our generic Cialis guide and Vidalista 20 vs Cialis cover the comparison in detail.

Which Vidalista strength to choose

The tadalafil label recommends 10 mg before sex for most men, allows a move up to 20 mg or down to 5 mg depending on effect and side effects, and sets 20 mg as the maximum for use as needed. For daily use it recommends 2.5 mg, rising to 5 mg if needed. Vidalista is also sold above the 20 mg ceiling.

No dose above 20 mg is approved, and no trial has compared higher doses head to head with 20 mg. In the label's trials, headache and indigestion became more common as the dose rose from 5 mg to 20 mg, and the safety of higher doses for erectile dysfunction has not been established. Our guide to high-dose tadalafil sets out what is and is not known about 40 mg to 80 mg tablets. If you would rather not plan around sex at all, daily 2.5 mg or 5 mg is the labelled alternative to as-needed dosing.

How to take Vidalista 20

• Take one tablet before sex, with or without food. Peak blood levels are reached between 30 minutes and 6 hours after a dose, with a median of 2 hours.
• Take no more than one dose a day, and never combine it with daily tadalafil or with a sildenafil, vardenafil or avanafil product.
• It works only with sexual stimulation. It does not cause an erection on its own.
• Avoid heavy drinking: the label warns that 5 or more units of alcohol with tadalafil can increase the chance of dizziness, a faster heart rate, a fall in blood pressure on standing, and headache.

Tadalafil has a half-life of 17.5 hours, which is why a single dose covers a long window. In one label trial of 20 mg, 61% of men had at least one successful attempt about 24 hours after a dose against 37% on placebo, and 64% against 37% at about 36 hours.

Lower doses or longer gaps for some men

• Potent CYP3A4 inhibitors such as ketoconazole, itraconazole or ritonavir: no more than 10 mg, once every 72 hours. Erythromycin, clarithromycin and grapefruit juice are also likely to raise tadalafil levels.
• Kidney impairment: in label studies, tadalafil exposure doubled in people with creatinine clearance of 30 to 80 mL/min. With 30 to 50 mL/min, start at 5 mg and take no more than 10 mg once every 48 hours; below 30 mL/min or on dialysis, no more than 5 mg once every 72 hours.
• Liver impairment: mild or moderate, no more than 10 mg a day; severe, not recommended.
• Alpha blockers (for example doxazosin, tamsulosin or alfuzosin): be stable on the alpha blocker first, then start at the lowest recommended dose. The UK and EU label does not recommend tadalafil with doxazosin at all, because the combination can lower blood pressure enough to cause fainting.
• Blood pressure medicines: tadalafil can add to their blood pressure lowering effect.

For these groups a 20 mg tablet is the wrong starting product.

Side effects by dose

These rates come from the eight main placebo-controlled trials of tadalafil taken as needed, as reported in the label.

In the label's studies, back pain and muscle aches usually started 12 to 24 hours after a dose and settled within 48 hours.

When to get urgent help

• An erection lasting more than 4 hours, whether painful or not. Without prompt treatment it can permanently damage the penis and cause lasting erectile dysfunction.
• Sudden loss or reduction of vision in one or both eyes. Stop taking tadalafil and get medical help straight away.
• Sudden loss or reduction of hearing, sometimes with ringing in the ears or dizziness. Stop taking tadalafil and get prompt medical attention.
• Chest pain or other symptoms when starting sex: stop and get medical help right away.
• Fainting, or swelling of the lips, tongue or throat, difficulty breathing or swallowing, or a rash, hives or blistering skin.
• If you take more than one tablet, contact a doctor or emergency department straight away.

If you need emergency care for chest pain, tell the staff that you took tadalafil and when. Because tadalafil lasts so long, the label says at least 48 hours should pass after the last dose before a nitrate is considered, even in a life-threatening situation, and only with close monitoring.

Who must not take Vidalista 20

• Anyone using nitrates in any form, regularly or occasionally, including nitroglycerin sprays, tablets or patches for angina, and amyl or butyl nitrite "poppers".
• Anyone taking a guanylate cyclase stimulator such as riociguat (Adempas) or vericiguat (Verquvo).
• Anyone who has had a serious allergic reaction to tadalafil. Serious skin reactions, including Stevens-Johnson syndrome, have been reported.
• Men for whom sex is inadvisable because of a heart condition. These groups were not included in the trials: men who had a heart attack in the last 90 days or a stroke in the last 6 months, men with unstable angina or angina during sex, heart failure (NYHA class 2 or worse) in the last 6 months, uncontrolled arrhythmias, blood pressure below 90/50, or uncontrolled high blood pressure. The UK and EU Cialis label lists these groups as contraindications; the US label says tadalafil is not recommended for them.
• Anyone who has lost vision in one eye from NAION (a sudden loss of blood flow to the optic nerve). The UK and EU label lists this as a contraindication; the US label says to use tadalafil only with caution, when the expected benefits outweigh the risks.

Heart attack, sudden cardiac death and stroke have been reported in men taking tadalafil, mostly in men who already had heart risk factors, and many during or soon after sex.

Do not combine Vidalista with Adcirca (tadalafil for pulmonary hypertension), another PDE5 inhibitor, or other erectile dysfunction treatments; these combinations have not been studied. Talk to a doctor first if you have aortic stenosis or another obstruction to blood flow out of the heart, a deformed penis (angulation or Peyronie's disease), a condition that raises the risk of prolonged erections (sickle cell anaemia, multiple myeloma, leukaemia), a bleeding disorder or an active stomach ulcer. The label does not recommend tadalafil for men with hereditary retinal disorders such as retinitis pigmentosa. Vidalista is for adult men only, and it offers no protection against sexually transmitted infections.

Prescription and legal status

Tadalafil is a prescription medicine in the US, Australia and Canada, and in the UK apart from Cialis Together 10 mg, which pharmacies can sell after a consultation. Vidalista is not licensed by the FDA, the MHRA, the TGA or Health Canada. In the US, the FDA says personal importation of unapproved medicines is illegal in most circumstances. We recommend seeing a doctor before using tadalafil, especially if you have heart disease or take regular medicines, and checking the rules where you live before ordering.

Buying genuine Vidalista

The MHRA warns that any medicine not authorised for sale in the UK, which includes Vidalista, can be unsafe or ineffective, and that erectile dysfunction pills bought online may contain no active ingredient, the wrong dose, hidden drugs or toxic ingredients. It advises UK buyers to use UK-registered pharmacies. When your order arrives, check that each strip names Centurion Laboratories and shows a batch number and an expiry date, and reject strips that are damaged, unsealed or unmarked. These checks cannot prove a product is genuine on their own, because counterfeiters copy packaging. If a batch causes unusual symptoms, stop using it, seek medical advice, and report it to your medicines regulator (the MHRA Yellow Card scheme in the UK, FDA MedWatch in the US, the TGA in Australia or Health Canada) as well as to us.

Delivery

We ship Vidalista 20 to the US, UK, Australia and Canada in plain packaging with tracking. Standard delivery takes 7 to 14 business days to most countries. Shipping costs a flat $25 on orders under $149 and is free from $149. See our shipping page for times by region.

Related guides

• Vidalista 20 dosage: how and when to take it
• Generic Cialis: tadalafil doses, schedules and costs
• Vidalista 20 vs Cialis
• High-dose tadalafil: 40 mg, 60 mg and 80 mg
• Tadalafil vs sildenafil
• Causes of erectile dysfunction

Prefer sildenafil? Cenforce 100 is also made by Centurion Laboratories, and Fildena 100 by Fortune Healthcare.

Sources

• CIALIS (tadalafil) US prescribing information (Eli Lilly), revised March 2026, sections 2, 4, 5, 6.1, 7, 12 and 14. DailyMed
• Cialis 20 mg film-coated tablets, UK summary of product characteristics, sections 4.3, 4.4 and 4.5. emc
• Centers for Medicare and Medicaid Services. National Average Drug Acquisition Cost (NADAC), 2026 file, as of 23 September 2026. data.medicaid.gov
• MHRA. 20 million illegal erectile dysfunction pills seized as MHRA warns against risky online buys, 13 February 2026. GOV.UK.
• US Food and Drug Administration. Personal Importation. FDA

This page is for information and is not medical advice. Tadalafil is a prescription medicine in most countries; speak to a doctor or pharmacist before using it.