vidalista - tadalafil is a medication used to treat erectile dysfunction and benign prostatic hyperplasia (BPH). It also helps people with pulmonary arterial hypertension (PAH) improve their ability to exercise. vidalista 20 works by inhibiting phosphodiesterase 5 (PDE5), which widens blood vessels and improves blood flow to the penis. It also relaxes the muscles in the prostate and bladder to improve blood flow and ease urination.