Filitra 40 mg should not be used with nitrates or nitric oxide donors due to the risk of severe hypotension. Patients with cardiovascular disease, liver or kidney impairment, or certain eye disorders should consult a healthcare professional before using this medication. Common side effects include headache, flushing, dizziness, nasal congestion, indigestion, and mild visual changes. Rare but serious effects include prolonged erections (priapism), sudden vision or hearing loss, and significant blood pressure drops.

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