Filitra 20 mg should be used under medical supervision. Filitra 20 mg is marketed as a brand of vardenafil, a medicine for erectile dysfunction. Vardenafil requires an assessment of your health and other medicines before use. MedlinePlus +1 Why medical supervision matters Dose: 20 mg is the maximum usual recommended dose for most adults, not the preferred starting dose. Filitra 20 mg Heart safety: It may be unsuitable if you have certain heart conditions or uncontrolled blood pressure. Dangerous interactions: Never combine it with nitrate medicines, such as nitroglycerin, or riociguat. Other medicines: Some blood-pressure medicines and alpha-blockers can increase the risk of low blood pressure. Seek emergency care for chest pain, sudden vision or hearing loss, or an erection lasting more than four hours.