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The chemicals in Vidalista 20 are comparable to those in Cialis. Tadalafil, the drug's primary ingredient, dilates blood vessels and widens their constriction. The first step is to take Vidalista 20 mg, which contains tadalafil, with a glass of water. Vidalista 20mg relaxes the blood vessel muscle cells after entering the circulatory system. Step three: Blood vessels have more room to accommodate higher blood pressure when the enlarged muscles relax. The body is given synthetic cGMP or PDE5 inhibitors when an ED patient takes Vidalista 20 mg. The production of PDE5 enzymes decreases when the body's cGMP levels rise.