1. Tolerance Development

• Reduced Effectiveness: Some users may develop a tolerance to sildenafil over time, potentially requiring higher doses to achieve the same effect. This can lead to increased consumption, which may not be advisable without medical guidance.

2. Potential Cardiovascular Effects

• Blood Pressure Changes: Sildenafil can cause temporary decreases in blood pressure. Long-term use may necessitate monitoring, especially in individuals with existing cardiovascular conditions.
• Cardiac Risk: Those with underlying heart problems should consult their healthcare provider before using Sildisoft tablet regularly, as sexual activity itself can put strain on the heart.

3. Vision and Hearing Impairment

• Vision Changes: Long-term use of sildenafil has been associated with rare cases of visual disturbances, including changes in color perception and increased sensitivity to light. In very rare cases, it has been linked to non-arteritic anterior ischemic optic neuropathy (NAION), a condition that can lead to vision loss.
• Hearing Loss: Some reports suggest a possible link between sildenafil and sudden hearing loss, although this is rare. Regular users should be aware of this risk and seek medical attention if they experience sudden changes in hearing.

4. Psychological Dependence

• Reliance on Medication: Long-term use may lead to psychological dependence, where individuals feel they cannot achieve sexual satisfaction without the medication. This can impact self-esteem and relationship dynamics.

5. Side Effects and Adverse Reactions

• Common Side Effects: Regular use can lead to side effects such as headaches, flushing, nasal congestion, indigestion, and dizziness. Persistent side effects should be discussed with a healthcare provider.
• Serious Side Effects: While uncommon, serious side effects (e.g., priapism, severe allergic reactions, chest pain) can occur and require immediate medical attention.

6. Interactions with Other Medications

• Potential Drug Interactions: Long-term use may increase the risk of drug interactions, especially with nitrates (used for chest pain), certain antifungals, and HIV medications. Regular users should inform their healthcare provider about all medications they are taking.

7. Underlying Health Issues

• Masking ED Causes: Long-term reliance on sildenafil may mask underlying health issues causing ED, such as diabetes, hypertension, or psychological factors. It's important to address these root causes rather than solely relying on medication.