Vidalista 60 contains tadalafil 60 mg, which increases blood flow to the ***** to help achieve and maintain an erection during ***** stimulation. For psychological erectile dysfunction (ED)—where factors such as stress, anxiety, depression, or relationship issues are the main cause—Vidalista 60 can be effective for some men, but it does not treat the underlying psychological cause. Here's how it may help: It can improve the ability to achieve an erection when ***** stimulation occurs. Successful experiences may reduce performance anxiety for some individuals. Its long duration of action (up to about 36 hours) may reduce pressure around timing, which some people find helpful. However: If psychological factors are the primary cause of ED, counseling, cognitive behavioral therapy (CBT), stress management, or treatment for anxiety or depression may be needed alongside medication. Taking a higher dose, such as 60 mg, does not necessarily make the medication more effective for psychological ED and may increase the risk of side effects. The appropriate tadalafil dose varies by individual and should be determined by a healthcare provider based on your health, other medications, and treatment response. Common side effects include headache, flushing, indigestion, back pain, muscle aches, and nasal congestion. Seek immediate medical attention if you develop chest pain, sudden vision or hearing loss, or an erection lasting longer than 4 hours. If your ED is mainly related to stress, anxiety, or relationship concerns, combining appropriate medical evaluation with psychological support often leads to better long-term outcomes than relying on medication alone.