Fildena, which contains sildenafil citrate as its active ingredient, is generally safe for long-term use when taken according to the prescribed dosage and under the supervision of a healthcare professional. However, there are important considerations and precautions to keep in mind:

Consultation: Before starting Fildena or any medication for erectile dysfunction (ED), it's crucial to consult a healthcare provider. They can evaluate your medical history, current medications, and overall health to determine if Fildena is safe and appropriate for you.

Dosage: The recommended starting dose of Fildena is typically 50 mg, taken as needed about 1 hour before sexual activity. The dose may be adjusted based on individual response and tolerability, but it's important not to exceed the maximum recommended dose of 100 mg within a 24-hour period. Taking higher doses without medical guidance can increase the risk of side effects.

Long-Term Safety: Studies have shown that sildenafil, the active ingredient in Fildena, is generally safe for long-term use when used as directed. However, prolonged use of sildenafil may require periodic monitoring by a healthcare provider to assess its continued effectiveness and safety.

Side Effects: Common side effects of sildenafil (Fildena) may include headache, flushing, indigestion, nasal congestion, dizziness, and visual disturbances. These side effects are usually mild and temporary. Serious side effects such as priapism (prolonged erection), sudden loss of vision or hearing, and allergic reactions are rare but require immediate medical attention if they occur.

Precautions: It's important to avoid combining Fildena with certain medications, especially nitrates used for chest pain, as this can cause a dangerous drop in blood pressure. Inform your healthcare provider about all the medications you are taking, including over-the-counter drugs and supplements, to avoid potential interactions.