1. Visual Disturbances: Some men may experience changes in vision, such as a bluish tint or sensitivity to light.


2. Priapism: A prolonged and painful erection lasting more than 4 hours is a medical emergency and requires immediate treatment.


3. Chest Pain: If chest pain or discomfort occurs during sexual activity, seek emergency medical assistance immediately.


4. Hearing Loss: Though rare, some individuals may experience sudden hearing loss or ringing in the ears.

Precautions and Warnings:

1. Pre-existing Conditions: Before taking Fildena 25 mg, inform your doctor if you have a history of heart disease, liver or kidney problems, high or low blood pressure, retinal disorders, or bleeding disorders.


2. Drug Interactions: Fildena 25 mg can interact with other medications, including nitrates (often prescribed for chest pain), alpha-blockers (used for high blood pressure or prostate issues), and other PDE5 inhibitors. These interactions can cause serious side effects like a dangerous drop in blood pressure.


3. Alcohol Consumption: Drinking excessive alcohol while using Fildena can increase the risk of side effects such as dizziness, headache, and low blood pressure.


4. Not for Women or Children: Fildena 25 mg is intended for use in men with erectile dysfunction and should not be used by women or children.


5. Driving or Operating Machinery: If you experience dizziness or visual disturbances after taking Fildena, avoid driving or operating heavy machinery until you know how the medication affects you.

Can Fildena 25 mg Be Used with Other Medications or Supplements?

• Combination with ED Medications: Fildena 25 mg should not be combined with other ED medications, including other PDE5 inhibitors (e.g., Viagra, Cialis), as this can increase the risk of serious side effects.


• Herbal Supplements: Some herbal supplements, such as St. John’s Wort, can interact with Sildenafil and alter its effectiveness. Always inform your doctor about any supplements you are taking to avoid unwanted interactions.


• Blood Pressure Medications: If you are on medications to manage high blood pressure, especially nitrates or alpha-blockers, consult your doctor before using Fildena 25 mg. Combining these can cause a dangerous drop in blood pressure.