Before using Vilitra (Vardenafil), it's important to consider the following medical conditions: Cardiovascular Issues: Conditions like heart disease, high or low blood pressure, or a history of heart attacks can increase the risk of complications. A thorough cardiovascular assessment is essential. Diabetes: Diabetes can lead to erectile dysfunction and may also affect blood circulation and nerve function. Proper management is necessary. Kidney or Liver Impairment: Reduced kidney or liver function can affect the metabolism and clearance of the medication, potentially leading to increased side effects. Retinitis Pigmentosa: A rare genetic eye disease can increase the risk of vision-related side effects. Priapism History: If you have a history of priapism (prolonged and painful erections), using Vilitra may increase the risk of this condition. Blood Disorders: Conditions like sickle cell anemia, multiple myeloma, or leukemia should be considered, as they can also increase the risk of priapism. Allergic Reactions: A history of allergic reactions to Vardenafil or similar medications should be discussed. Use of Other Medications: It's important to disclose all medications you are currently taking, especially nitrates, as the combination can lead to dangerous drops in blood pressure. Other Health Conditions: Conditions such as severe dehydration, peptic ulcers, or any significant health issues should also be discussed with your healthcare provider. Always consult with a healthcare professional before starting Vilitra to ensure it's safe and appropriate for your specific health situation.