Fildena, which contains sildenafil citrate—the same active ingredient as Viagra—is generally considered safe for most men when used under a doctor's supervision. However, long-term use should be approached with caution. Regular use without medical oversight can lead to potential side effects such as headaches, vision changes, hearing loss, or cardiovascular issues, especially in men with underlying health conditions. Psychological dependency may also develop if one begins to rely solely on the medication for sexual performance. It’s important to monitor for interactions with other medications and avoid using Fildena with nitrates or recreational drugs. Consulting a healthcare provider is essential before prolonged use.