The best and most efficient medication for male sexual dysfunction is the Tadalista 20 Pill. The best use of this medication is for treating male erection issues, impotence, and premature ejaculation. Only men between the ages of 18 and 65 may use this medication. This medication takes 36 hours to take effect. This medication can be taken either before or after meals. Alcohol and fattening foods should not be consumed together with this medication since they will lessen its effectiveness.