Vidalista 60 Mg

Vidalista 60 is a tadalafil tablet made in India by Centurion Laboratories. Each tablet contains 60 mg of tadalafil, three times the highest dose approved for erectile dysfunction. Tadalafil 60 mg is not approved by the FDA, EMA, MHRA, TGA or Health Canada for any condition, and no trial has shown that it works better than 20 mg. We sell it in packs of 90, 120, 150 and 300 tablets, from $1.05 a tablet.

We stock Vidalista 60 because customers ask for it by name, but we would not recommend it as a first or second choice, and this page explains why. It covers the price per tablet, what the evidence does and does not say about doses above 20 mg, how long tadalafil stays in the body, the side effect data that exist, who must not take it, and how delivery works. Clinical figures come from the US prescribing information for Cialis (tadalafil) and Adcirca, listed at the end.

Vidalista 60 at a glance

Price per tablet

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

With shipping, the 90 pack totals $144 and the 120 pack $153. Vidalista 20, the labelled maximum dose, costs $0.72 to $0.93 a tablet. There is no Cialis 60 mg to compare with: Cialis and FDA-approved generic tadalafil stop at 20 mg for erectile dysfunction, and in September 2026 US pharmacies paid about $0.17 per generic 20 mg tablet according to the Medicaid NADAC survey.

What the evidence says about doses above 20 mg

Tadalafil's main trials for erectile dysfunction used 2.5 mg to 20 mg. A pooled analysis of 11 placebo-controlled trials reported results for both as-needed doses: 20 mg added about ten percentage points of successful attempts over 10 mg, a smaller step than the one from placebo to 10 mg.

Higher doses were tried early on. The European Medicines Agency's review of Cialis says dose-finding studies, using an earlier tablet formulation, explored 2 mg to 100 mg, and that 100 mg appeared to be the worst tolerated; 20 mg became the maximum. The review also records that no dose titration study tested higher doses in men without an adequate response to 10 mg or 20 mg.

The label's overdose section notes that single doses up to 500 mg were given to healthy volunteers and daily doses up to 100 mg to patients, with adverse events similar to those at lower doses. That suggests a single 60 mg dose is unlikely to be acutely dangerous in a healthy man who takes no interacting medicines. The label gives no numbers and does not say whether "similar" refers to the kind of side effects, how often they occurred or how severe they were. It is not evidence that 60 mg works better than 20 mg.

An earlier version of this page quoted headache and back pain rates at 60 mg, said a 60 mg dose gives a "stronger" response, and compared Vidalista 60 with "Cialis 60mg". None of that was supported: there are no published side effect rates for 60 mg, no evidence of a stronger response, and no Cialis 60 mg. We have removed it.

The best available comparison: 20 mg vs 40 mg

The largest published side effect comparison of 20 mg and 40 mg comes from the Adcirca trial in pulmonary arterial hypertension, which compared placebo with 2.5, 10, 20 and 40 mg once daily. It shows the direction of travel: headache rose from 32% at 20 mg to 42% at 40 mg, flushing from 6% to 13%, muscle aches from 9% to 14% and pain in the limbs from 5% to 11%.

Most patients in this trial were women, many also took bosentan, and all took tadalafil every day for a serious lung disease, so the rates are not directly comparable with occasional use for erectile dysfunction. Indigestion and back pain were slightly lower at 40 mg. No comparable data exist at 60 mg.

Why the long half-life matters at 60 mg

Tadalafil's average half-life in healthy men is 17.5 hours after 20 mg and 15 hours after 40 mg. That is what gives it its long window, and it also means a large share of any dose is still present the next day: roughly a third or more at 24 hours. How much of a 60 mg dose reaches the blood is not known. In the Adcirca studies, going from 20 mg to 40 mg raised total exposure only about 1.5 times, so exposure probably does not triple at 60 mg, but a second tablet the next day still adds to what is left. Side effects such as back pain and muscle aches usually start 12 to 24 hours after a dose and settle within 48 hours, so they can arrive well after sex. Our guide to high-dose tadalafil at 40, 60 and 80 mg sets out the numbers.

Which Vidalista strength to choose

The tadalafil label recommends 10 mg before sex for most men, allows 20 mg or 5 mg depending on effect and side effects, and for daily use recommends 2.5 mg, rising to 5 mg if needed.

If 20 mg feels too weak, the usual causes are practical: judging it too soon (peak blood levels arrive at a median of 2 hours, anywhere from 30 minutes to 6 hours), too little sexual stimulation, heavy drinking, or a worsening underlying cause such as diabetes or vascular disease. Daily 2.5 mg or 5 mg removes the timing problem, and switching to sildenafil (Cenforce 100) helps some men who respond poorly to tadalafil. If 20 mg taken correctly does not work, a doctor can look for a treatable cause and discuss other treatments.

If you and your doctor decide on Vidalista 60

• Only consider it if a doctor has looked at why 20 mg is not working and agrees to a higher dose. 60 mg is three times the labelled maximum. If side effects are troublesome, stop and speak to your doctor.
• Take no more than one tablet in 24 hours, and do not take one on consecutive days: the previous dose is still present.
• Take it with or without food; food does not change tadalafil absorption.
• Never combine it with daily tadalafil or with a sildenafil, vardenafil or avanafil product.
• 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.
• It works only with sexual stimulation. It does not cause an erection on its own.

Men for whom 60 mg is plainly the wrong product

For some men the labelled limit is well below 20 mg, or extra caution is needed:

• 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, 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, and the label has no data above 10 mg; severe, not recommended.
• Alpha blockers (for example doxazosin, tamsulosin or alfuzosin): the US label says to be stable on the alpha blocker first and then start tadalafil at the lowest recommended dose, so 60 mg is not suitable. 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. The interaction studies used 10 mg or 20 mg, and the UK and EU label says that where only 10 mg was tested, interactions at higher doses cannot be completely ruled out.

Side effects at the labelled doses

These rates come from the eight main placebo-controlled trials of tadalafil taken as needed. There are no equivalent figures for 60 mg.

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, how much 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. That 48-hour figure comes from a study of 20 mg taken daily for 7 days, and the Adcirca label applies it after its 40 mg dose. There are no data at 60 mg, and more tadalafil may remain at 48 hours, so make sure the staff know the dose.

Who must not take Vidalista 60

• 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. 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. No tadalafil product is approved at 60 mg by the FDA, the EMA, the MHRA, the TGA or Health Canada, and Vidalista is not licensed by any of them. 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 at a dose above 20 mg, 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 60 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, and our refund policy for what happens if a parcel does not arrive.

Related guides

• High-dose tadalafil: 40 mg, 60 mg and 80 mg
• Vidalista review: every strength compared
• Generic Cialis: tadalafil doses, schedules and costs
• Vidalista 20 vs Cialis
• Tadalafil vs sildenafil
• Causes of erectile dysfunction

Sources

• CIALIS (tadalafil) US prescribing information (Eli Lilly), revised March 2026, sections 2, 4, 5, 6.1, 7, 8.6, 8.7, 10 and 12. DailyMed
• ADCIRCA (tadalafil) US prescribing information, sections 6.1, 12.3 and 14 (placebo-controlled pulmonary arterial hypertension trial; pharmacokinetics at 20 mg and 40 mg). DailyMed.
• European Medicines Agency. Cialis: EPAR scientific discussion (dose-finding studies). EMA
• Carson CC et al. The efficacy and safety of tadalafil: an update. BJU Int 2004. PMID 15180622.
• 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, and do not exceed the dose your doctor recommends.