Vilitra 20 mg (Vardenafil) is a medicine for erectile dysfunction (ED). However, it is not suitable for everyone. Certain people should avoid it completely, while others need medical evaluation before taking it. Who should NOT take Vilitra 20 mg? People taking nitrate medicines: Such as nitroglycerin, isosorbide mononitrate or isosorbide dinitrate. Combining them can cause a dangerous drop in blood pressure. People taking Vilitra 20 mg This combination is contraindicated. People with serious heart conditions: Especially unstable angina, severe heart failure or those advised to avoid sexual activity. People with very low blood pressure: Vardenafil can lower blood pressure further. People who recently had a heart attack or stroke: Medical assessment is essential. People with severe liver disease: Vilitra should not be used in severe hepatic impairment. People with severe kidney disease requiring dialysis: Vardenafil is not recommended. People with certain eye disorders: Particularly a history of sudden vision loss due to NAION. People with congenital long QT syndrome: They should avoid vardenafil. DailyMed +3 Who should use it with caution? Men taking blood-pressure medicines. Men taking alpha-blockers for prostate problems. Men aged over 65. Men with liver or kidney problems. Men taking certain antibiotics or antifungal medicines. Important precautions Do not combine Vilitra with Viagra or Vidalista. Do not exceed the prescribed dose. Seek emergency medical attention for an erection lasting more than 4 hours. Sudden loss of vision or hearing requires immediate medical attention.
