Vidalista 2.5 mg (or any dose of tadalafil), the only appropriate person to make safe changes is a qualified healthcare provider — typically:  Who should decide on dose changes Your doctor (general physician) – they know your overall health and can adjust doses safely. **A specialist such as a urologist – especially if your ED/BPH symptoms are complex. Clinicians with prescription authority (e.g., internists) – they can consider interactions with other meds and medical conditions. No one else — like friends, forums, or non‑medical advisers — should suggest increasing or decreasing doses because that can be unsafe. Tadalafil dosing takes into account your health status, liver/kidney function, other medicines, and how well the current dose works for you.  Why doctors guide dose adjustments Tadalafil 2.5 mg is typically a once‑daily dose — adjustments (up to 5 mg daily) are made based on efficacy and tolerability. Your clinician also considers renal or liver function, because in some conditions dose limits or spacing changes are required. They balance benefit vs risk, especially if you’re taking other medications that affect blood pressure or interact with tadalafil.