Vidalista 10 mg is a urologist or andrologist (a specialist in male sexual health). A qualified general physician can also review your medication and help you choose a safe option. PMC +1 Alternatives your doctor may discuss Tadalafil — the same active ingredient as Vidalista 10 Mg , available in different prescribed dosing schedules. Sildenafil — an alternative medicine for erectile dysfunction. Vardenafil or avanafil — other prescription options for some patients. Non-medicine treatments — such as a vacuum erection device or counselling, depending on the cause. PMC +1 Do not combine these medicines or increase the dose yourself. Tadalafil and similar ED medicines must not be used with nitrate medicines because blood pressure can fall dangerously.