Extra Super Vidalista is typically taken orally with water, and the dosage may vary depending on individual response and tolerance. It's generally advised to take one tablet approximately 30 minutes to 1 hour before anticipated sexual activity. The effects of Extra Super Vidalista can last for up to 36 hours, allowing for greater flexibility in timing sexual activity. As with any medication, Extra Super Vidalista may cause side effects in some individuals, including headache, flushing, indigestion, stuffy or runny nose, dizziness, and changes in vision. Serious side effects such as sudden vision loss or hearing loss are rare but require immediate medical attention if experienced.