When considering the use of Megalis 20 Tablet (Tadalafil 20 mg) with high blood pressure, please follow these guidelines:

1. Consult Your Doctor:a. Tadalafil can affect blood pressure and may interact with hypertension medications.b. Discuss your current blood pressure status and medications with your healthcare provider.

2. Avoid Nitrates:a. Do not use Tadalafil if you are taking nitrate medications for chest pain or heart conditions.

3. Monitor Blood Pressure:a. Your doctor may want to monitor your blood pressure closely if you start using Tadalafil.

4. Possible Side Effects:a. Be aware of side effects such as dizziness, headache, or palpitations.

In summary, while Megalis 20 can be used by some men with high blood pressure, it must be done under medical supervision. Please consult your healthcare provider for personalized advice.