Tolerance: Over time, the body may become tolerant to the effects of sildenafil, requiring higher doses to achieve the same results. Side effects: Extended use of Super Fildena may increase the likelihood of experiencing side effects such as headache, flushing, dizziness, upset stomach, and vision changes. Cardiovascular risks: Sildenafil can lower blood pressure, and individuals with cardiovascular issues or those taking medications containing nitrates should use Fildena Super Active cautiously due to the risk of adverse interactions. Psychological dependence: Long-term reliance on medication for erections may lead to psychological dependence or anxiety about sexual performance without it.