https://www.hotmedz.com/product/tadalista-60-mg-usa/ You should not take Tadalista 60 if you have a history of serious heart disease, severe low blood pressure, or nerve and kidney problems. It is also important to avoid foods and beverages containing high amounts of fat and carbohydrates, as these can decrease the effectiveness of the medication. You should also avoid drinking any fluids that contain caffeine, as this can cause headaches and jitters.