Vidalista 5, containing tadalafil, is commonly used to treat erectile dysfunction, but it can have serious side effects requiring immediate medical attention. Seek emergency care if you experience symptoms of an allergic reaction, such as rash, itching, swelling, or difficulty breathing. Serious cardiovascular issues, like chest pain, irregular heartbeat, or a sudden decrease in vision or hearing, are also red flags. Priapism, a prolonged and painful erection lasting over 4 hours, is another urgent side effect that requires immediate treatment to prevent permanent damage. Additionally, severe dizziness, fainting, or shortness of breath should be addressed immediately.