Tadalista Professional is marketed as a 20 mg tadalafil tablet, and tadalafil can improve sexual performance when the problem is erectile dysfunction (ED). It increases blood flow to the penis during sexual stimulation, helping you get and maintain an erection. U Universal Health India +1 A few important points: It doesn't increase sexual desire/libido and won't automatically cause an erection without sexual Tadalista Professional . M MedlinePlus Tadalafil can improve erectile function for up to 36 hours after an as-needed dose. D DailyMed It isn't primarily a treatment for premature ejaculation and shouldn't be expected to directly make you last longer. A 20 mg dose is a relatively high as-needed dose; tadalafil should generally not be taken more than once in 24 hours. D DailyMed Do not take tadalafil with nitrate medicines (such as nitroglycerin), because the combination can cause a dangerous drop in blood pressure. D DailyMed If you tell me what you mean by “improve sexual performance” — stronger erections, lasting longer, more rounds, or increased libido — I can explain whether Tadalista Professional is likely to help.