Additionally, long-term use of sildenafil may be associated with potential adverse effects on cardiovascular health, particularly in individuals with underlying heart conditions. Sildenafil can lower blood pressure, and there have been reports of cardiovascular events such as heart attacks and strokes in some individuals using sildenafil, especially when taken in combination with certain medications or recreational drugs. Therefore, it is important for individuals considering long-term use of Fildena 100mg to discuss their medical history and any potential risks with their healthcare provider. Regular monitoring and evaluation by a healthcare professional are essential to ensure the continued safety and effectiveness of Fildena XXX therapy.