Tadalista Super Active is a combination medicine typically used for erectile dysfunction and premature *****. It usually contains tadalafil (for erections) and dapoxetine (for delaying *****). Because it combines two active drugs, side effects can come from either component. Common side effects These are the ones most people report: From tadalafil: Headache Flushing (warmth or redness of the face) Indigestion / acidity Nasal congestion (stuffy nose) Back pain or muscle aches Dizziness From dapoxetine: Nausea (very common) Dry mouth Diarrhea Trouble sleeping or restlessness Mild anxiety or feeling “wired” Effects that can also occur (less common but important) Drop in blood pressure (especially if standing quickly) Lightheadedness or fainting Blurred vision or changes in color vision Fast heartbeat or palpitations Rare but serious effects (need medical attention) Priapism (erection lasting more than 4 hours) Severe dizziness or fainting Chest pain or severe shortness of breath Sudden vision or hearing loss Important safety note This combination can interact with alcohol, nitrates (heart medicines), and some antidepressants, increasing risk of low blood pressure or side effects. If you want, I can also explain who should avoid it, or how to reduce side effects safely.