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Fildena Super Active, which contains sildenafil citrate, is generally considered safe for the treatment of erectile dysfunction (ED) when used as directed and under the supervision of a healthcare provider. However, like any medication, there are potential risks of long-term side effects associated with its use. Some of these include:

Vision changes: Sildenafil citrate, the active ingredient in Fildena Super Active, can cause visual disturbances such as changes in color vision, blurred vision, or sensitivity to light. While these side effects are usually temporary and resolve on their own, there have been rare reports of more serious visual side effects, including non-arteritic anterior ischemic optic neuropathy (NAION), a condition that can cause sudden vision loss.

Hearing loss: There have been rare reports of sudden hearing loss or decreased hearing associated with the use of sildenafil citrate and other phosphodiesterase type 5 (PDE5) inhibitors. While the exact mechanism is not fully understood, individuals should be aware of this potential risk and seek medical attention if they experience any changes in hearing while taking Fildena Super Active.

Cardiovascular effects: Sildenafil citrate can lower blood pressure, and individuals with underlying cardiovascular conditions may be at increased risk of experiencing cardiovascular side effects such as heart attack, stroke, or irregular heartbeat. It's essential for individuals with cardiovascular risk factors or pre-existing cardiovascular conditions to use Fildena Super Active with caution and under the supervision of a healthcare provider.

Priapism: Priapism, a prolonged and painful erection lasting more than four hours, is a rare but serious side effect associated with sildenafil citrate and other PDE5 inhibitors. If left untreated, priapism can lead to permanent damage to the penis and require emergency medical treatment.

Drug interactions: Sildenafil citrate can interact with certain medications, including nitrates and alpha-blockers, used to manage cardiovascular conditions. These interactions can increase the risk of side effects or complications and should be discussed with a healthcare provider before starting treatment with Fildena Super Active.

Overall, while Fildena Super Active is generally well-tolerated, individuals should be aware of the potential risks of long-term side effects associated with its use and should use the medication as directed and under the supervision of a healthcare provider. It's essential to weigh the potential benefits of treatment against the risks of side effects and to address any concerns with a healthcare provider before starting treatment. Regular follow-up with a healthcare provider can help monitor for potential side effects and ensure the safe and effective use of Fildena Super Active.