Before using Sildalist Strong 140 mg, discuss your medical history and any other medications you are taking with your healthcare provider.: Your provider will determine the appropriate dosage and frequency based on your specific needs and response to the medication.In summary, Sildalist Strong 140 mg combines the effects of sildenafil and tadalafil to provide a potentially more flexible and sustained solution for managing ED. Always use it under medical supervision to ensure safety and effectiveness.