Vidalista 40 (Tadalafil) or other ED medications don’t produce the expected effect, you should seek professional medical help rather than increasing doses or switching drugs on your own. Here’s who to talk to and why: Primary Care Doctor / General Practitioner Start with your regular doctor if Vidalista isn’t working as expected. They can: Review your diagnosis and confirm you truly have ED rather than another issue. Evaluate timing, dose, and use of the medicine to check you’ve given it a fair trial (often multiple attempts at the correct dose) before Vidalista 40  it fails. Check for underlying health problems (e.g., diabetes, heart disease) that reduce ED drug effectiveness.   Urologist or Male Sexual Health Specialist If standard ED treatments don’t work or you have complex health issues, a specialist is often most helpful. They can: Run detailed tests (physical, hormonal, blood flow studies) to find physical causes. Recommend alternative therapies such as vacuum devices, penile injections, or surgery if pills aren’t effective. Adjust medication strategy or suggest combination treatments if needed.  Mental Health Professional Sometimes ED is influenced by stress, anxiety, or relationship issues. A therapist or counselor can help if psychological factors are contributing to the problem. Seek immediate help if you experience Painful erection lasting more than 4 hours (priapism) – this is a medical emergency. Severe side effects like chest pain, severe dizziness, or sudden vision/hearing changes.   If Vidalista 40 mg fails to work consistently, talk to a healthcare professional first to evaluate the cause. You may need a dose adjustment, a different medication, testing for underlying conditions, or a referral to a urologist or specialist for further evaluation and alternative treatments. Would you like a step‑by‑step checklist to prepare for a doctor visit about ED treatment? (That can help you get the most out of your appointment.)