Tadalista 60 (which contains Tadalafil, the active ingredient in Cialis) with other erectile dysfunction (ED) medications. Here's why: Similar Mechanisms: Like other ED medications, Tadalista 60 works by inhibiting the PDE5 enzyme, which helps increase blood flow to the penis. Combining multiple PDE5 inhibitors (such as Viagra, Levitra, or other Tadalafil-based medications) can lead to an excessive increase in blood flow and cause dangerous side effects. Increased Risk of Side Effects: Mixing ED medications increases the likelihood of side effects such as: Severe low blood pressure (which can cause dizziness, fainting, or heart issues). Tadalista 60 (a painful, prolonged erection). Headaches, flushing, and visual disturbances. No Added Benefits: Combining these medications won't give you better results but will only increase the risk of adverse effects. Each medication works in a similar way, so taking them together does not enhance their effects. Always consult with your healthcare provider before combining any medications, including ED treatments. They will be able to recommend the best treatment plan based on your individual health needs. If you have concerns about the effectiveness of a specific ED medication, discuss it with your doctor to explore alternatives or adjustments to your treatment.