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Filitra 40 mg contains vardenafil, a medication used to treat erectile dysfunction (ED). Like other medications for ED, Filitra 40 mg may be contraindicated (should not be used) in individuals with certain medical conditions due to potential risks or interactions. Here are some medical conditions that are generally contraindicated with the use of Filitra 40 mg:

Heart conditions: Filitra 40 mg should not be used by individuals with severe heart problems, including recent heart attack, unstable angina (chest pain), severe heart failure, or uncontrolled arrhythmias (irregular heartbeat). This is because vardenafil can affect blood flow and may cause a sudden drop in blood pressure, which could be dangerous for those with underlying heart conditions.

Hypotension (low blood pressure): Filitra 40 mg can cause a decrease in blood pressure, and therefore should be used with caution or avoided in individuals with hypotension. Taking Filitra 40 mg along with medications that lower blood pressure or with alcohol can further lower blood pressure and increase the risk of adverse effects such as dizziness, fainting, or even stroke.

Liver or kidney disease: Individuals with severe liver or kidney impairment may have difficulty metabolizing and excreting vardenafil, leading to an accumulation of the drug in the body and an increased risk of side effects. Dosage adjustments or alternative treatments may be necessary in these cases.

Retinal disorders: Filitra 40 mg should be used with caution in individuals with retinal disorders such as retinitis pigmentosa. Vardenafil and other medications in its class (PDE5 inhibitors) have been associated with rare cases of sudden vision loss or changes in vision. Patients with retinal disorders may be at higher risk for these complications.

Severe dehydration: Dehydration can affect blood pressure and increase the risk of hypotension when taking medications like Filitra 40 mg. Individuals who are severely dehydrated, such as those with persistent vomiting or diarrhea, should avoid using this medication until they are adequately hydrated.

Stroke or heart attack within the past six months: Due to the potential cardiovascular risks associated with sexual activity, individuals who have experienced a stroke or heart attack within the past six months should avoid using Filitra 40 mg or any other medications for erectile dysfunction without consulting their healthcare provider.

It's important to note that this list is not exhaustive, and there may be other medical conditions or factors that could contraindicate the use of Filitra 40 mg. Always consult with a healthcare professional before starting any new medication, especially if you have underlying medical conditions or are taking other medications.