Taking two Vidalista 60 pills simultaneously, or doubling the recommended dose of any medication, should only be considered under the direct guidance and supervision of a healthcare provider. However, in certain situations, a healthcare provider may adjust the dosage of Vidalista (tadalafil) based on individual factors such as the severity of erectile dysfunction, tolerance to the medication, and response to treatment. It's important to note that doubling the dose of Vidalista 60mg without medical supervision can increase the risk of side effects, such as headaches, dizziness, flushing, and changes in blood pressure. Additionally, taking more medication than prescribed does not necessarily enhance its effectiveness and can be dangerous. If you feel that your current dosage of Vidalista 60 is not providing the desired effect, or if you have concerns about its efficacy, it's essential to discuss these concerns with your healthcare provider. They can evaluate your situation and determine the most appropriate course of action, which may involve adjusting the dosage or exploring other treatment options.