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Vidalista 80 mg is generally not a standard starting dose and is usually considered only when lower strengths such as 10 mg, 20 mg, or 40 mg are not effective. Because it is a very high dosage, it must be used only under strict medical supervision due to the increased risk of side effects. The tablet is typically taken 30–60 minutes before sexual activity, and its effects may last up to 24–36 hours. However, it does not cause continuous erections; sexual arousal is still required for it to work. This dose may sometimes be used in men with severe erectile dysfunction or complicated health conditions such as diabetes or vascular disease, but it is not commonly recommended for routine use.