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  Take Tadalista 60 orally with water, approximately 30 minutes to 1 hour before anticipated sexual activity. It can be taken with or without food, but avoid consuming heavy or high-fat meals as they may delay the onset of action. Common side effects of Tadalista 60 may include headache, flushing, nasal congestion, indigestion, and back pain. These side effects are usually mild and transient. Serious side effects such as priapism (prolonged erection) or sudden vision loss are rare but require immediate medical attention.