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Fildena Super Active contains sildenafil citrate, which is primarily used to treat erectile dysfunction (ED). When considering the long-term use of sildenafil, here are some important points to keep in mind: Safety for Long-Term Use Efficacy: Fildena Super Active is generally effective for long-term use in managing ED. Many men use it successfully over extended periods. Side Effects: Common side effects include headaches, flushing, nasal congestion, upset stomach, and dizziness. Long-term use doesn’t typically lead to more severe side effects, but individual responses can vary. Cardiovascular Health: Sildenafil has been shown to have a favorable safety profile in men with stable cardiovascular disease. However, it's essential to consult a healthcare provider to assess individual risks, especially if you have heart problems. Psychological Dependence: While sildenafil does not cause physical dependence, some men may develop a psychological reliance on the medication to achieve erections, which can impact self-esteem and relationship dynamics. Underlying Conditions: If ED is a symptom of an underlying health condition (e.g., diabetes, hypertension), it's important to address that condition for overall health and well-being. Regular Check-ups: Regular follow-ups with a healthcare provider are recommended to monitor health, medication efficacy, and any potential side effects.