Vidalista 20 tadalafil tablets it is taken by mouth with a glass of water approximately 0,5-1 hour before sexual activity. Fildena should not be taken more than once a day. A serious allergic reaction to this drug is very rare, but seek immediate medical help if it occurs. Most usual side effects of Apcalis are facial flushing (reddening), headaches, stomach upset, diarrhea, flu-like symptoms and nausea. In more rare cases low blood pressure, blurred vision and changes in color vision, and abnormal ejaculation may occur. Prolonged erections or priapism (painful erections lasting more than 6 hours) are also possible. If your erection is longer than 4 hours, seek for immediate medical help as it may permanently damage your penis. Aggravation of heart problems in patients with pre-existing heart disease using Apcalis was reported.