Filitra 20 mg, which contains vardenafil, is a PDE5 inhibitor used to treat erectile dysfunction (ED). While it's not specifically designed to affect sleep, it can influence sleep quality in some individuals — either positively or negatively — depending on how your body reacts to the medication.  Possible Sleep Effects of Filitra 20 mg Potential Positive Effects Improved sexual confidence and performance may reduce anxiety and stress, which can lead to better sleep. Some men report better rest following satisfying sexual activity.  Filitra 20 mg Negative Effects Side effects such as: Headache Flushing Nasal congestion Indigestion Muscle or back pain These can make it uncomfortable to fall or stay asleep, especially if the dose is taken late in the evening. Insomnia or restlessness has been reported in some users, although it's not common. Vivid dreams or disturbed sleep may occur due to changes in blood flow or minor CNS effects, though this is rare. 🕒 Best Practices to Minimize Sleep Disruption Take it earlier in the evening (e.g., 1–2 hours before planned sexual activity). Avoid caffeine, alcohol, or heavy meals before bedtime. If sleep issues persist, speak to your doctor — a different ED medication or dosing time may be better.