Vilitra 20 is a medication typically used to treat erectile dysfunction (ED). However, there are certain groups of individuals who may need to consider alternatives to this medication, such as: Those with allergies or sensitivities: If someone is allergic to vardenafil (the active ingredient in Vilitra), they should avoid this medication and explore alternatives. People with certain medical conditions: Those Vilitra 20 severe heart or liver conditions. People with a history of stroke or low blood pressure. Individuals with a rare genetic disease called retinitis pigmentosa. Those taking specific medications: Certain drugs, such as nitrates used for chest pain or alpha-blockers used for high blood pressure, can interact negatively with Vilitra. Alternatives may be necessary. Men with uncontrolled diabetes: For men whose diabetes is not well-controlled, it might be best to discuss alternatives with a healthcare provider. Those with severe kidney impairment: People with significant kidney issues might need a different approach to ED treatment. It's always essential to consult with a doctor to determine the best treatment option based on personal health conditions and medical history.