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Malegra Oral Jelly, containing Sildenafil, is generally considered safe for short- to medium-term use when prescribed by a healthcare provider. However, potential long-term effects may vary among individuals. Here are some considerations: Cardiovascular Health: Sildenafil can affect blood pressure and heart function. Long-term use should be monitored in individuals with cardiovascular conditions. Vision Changes: Some users may experience changes in vision or a risk of developing visual disturbances. Long-term effects on vision are rare but should be discussed with a doctor. Hearing Issues: Malegra Oral Jelly have been rare reports of sudden hearing loss associated with PDE5 inhibitors like Sildenafil. Long-term implications are unclear, but any hearing changes should be evaluated by a healthcare professional. Psychological Dependence: While not physically addictive, some individuals may develop a psychological reliance on the medication for sexual performance. Underlying Conditions: Long-term use of Malegra should be considered in the context of the underlying condition causing erectile dysfunction. Treating the root cause is essential for overall health. Regular follow-ups with a healthcare provider are important for monitoring any potential long-term effects and adjusting treatment as necessary. Always discuss any concerns with your doctor.