Tadalista 60, which contains the active ingredient tadalafil, is a medication primarily used to treat erectile dysfunction and sometimes benign prostatic hyperplasia (BPH). However, like other medications that affect blood flow, tadalafil should be used with caution, especially in individuals with certain heart conditions. Here are some of the heart conditions that may require caution or a contraindication when using Tadalista 60 (or any medication containing tadalafil): 1. Severe Heart Disease (e.g., Severe Angina, Recent Heart Attack, or Stroke) Tadalafil works by dilating blood vessels, which can lower blood pressure. In individuals with severe heart disease or a recent heart attack or stroke, the added effect of lowered blood pressure could be dangerous. A Tadalista 60 of heart attack, stroke, or severe angina within the past 6 months would typically contraindicate the use of tadalafil. 2. Congestive Heart Failure (CHF) Individuals with severe congestive heart failure may be at greater risk of complications due to the blood pressure-lowering effects of tadalafil. This can potentially worsen symptoms of heart failure. 3. Uncontrolled Hypertension or Hypotension Tadalafil can cause a drop in blood pressure. For individuals with poorly controlled hypertension (high blood pressure) or hypotension (low blood pressure), this can be problematic. If blood pressure is too low or high, the medication could lead to fainting, dizziness, or other cardiovascular issues. 4. Heart Valve Disease or Severe Aortic Stenosis In cases of severe valve disease or aortic stenosis, the use of tadalafil may put additional strain on the cardiovascular system, as the heart must work harder to compensate for the reduced blood flow.