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Filitra is available in multiple strengths, including 5 mg, 10 mg, and 20 mg, allowing doctors to adjust the dose based on the severity of ED, age, and overall health. The tablet is usually taken 30–60 minutes before sexual activity, and sexual arousal is required for it to be effective. Its effects can last for 4–5 hours, providing enough time for sexual activity. Filitra can be taken with or without food, although high-fat meals may delay its onset. Common side effects include headache, flushing, dizziness, nasal congestion, and indigestion, which are typically mild and temporary. Filitra should not be used by individuals taking nitrate medications or by those with serious heart conditions, as this may cause a dangerous drop in blood pressure.