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Extra Super Vidalista is usually taken about 30–60 minutes before sex, should not be used more than once in 24 hours, and is best taken on an empty or light stomach. Common side effects include headache, flushing, dizziness, blurred vision, nasal congestion, nausea, muscle or back pain, and mild mood changes. Serious but rare risks are chest pain, irregular heartbeat, prolonged painful erection (priapism), sudden vision or hearing loss, or severe dizziness or fainting.