Vidalista is not a miracle cure for erectile dysfunction, but it can help men with this condition. However, it is not safe to take it with certain other medications. Those who suffer from high blood pressure should not take it with guanylate cyclase stimulators such as Riociguat, which is used to treat pulmonary arterial hypertension.It's a popular drug for erectile dysfunction, but it can also interact with other medications. Talk to your doctor about your treatment options if you're concerned about the risks of Cialis. Taking this medication with alcohol will decrease a man's ability to achieve an erection and increase his risk for side effects.