As with other tadalafil-containing medications, it's crucial to consult with a healthcare provider before starting Tadora 20 mg, especially if you have underlying health conditions or take other medications. They can evaluate your medical history, current medications, and potential risk factors to determine the appropriate dosage and monitor for any side effects related to blood pressure or heart rate. Regular check-ups and monitoring are essential to ensure the safe use of Tadora 20 mg and minimize the risk of cardiovascular complications.