Filitra 20 mg (which contains vardenafil, a PDE5 inhibitor similar to tadalafil and sildenafil), with caution. Here's why and when it should be avoided: Why Filitra 20 mg Should Be Avoided After a Stroke: Blood Pressure Concerns: PDE5 inhibitors like Filitra 20 mg lower blood pressure as part of their mechanism. In people with a history of stroke, especially those who have experienced a hemorrhagic stroke (caused by bleeding in the brain), the blood pressure-lowering effect could lead to a drop in blood pressure that may be dangerous, increasing the risk of further complications. Even in cases of ischemic stroke (caused by a blockage), fluctuations in blood pressure (either too high or too low) can increase the risk of another stroke. Vascular Risk: Erectile dysfunction medications can cause a dilation of blood vessels, which might interact with medications you're taking for stroke Filitra 20 mg (like anticoagulants, antiplatelets, or blood pressure medications). This can exacerbate blood flow issues and increase the chances of adverse cardiovascular events. Stroke Recovery: If you've recently had a stroke, your brain and heart are recovering from a significant trauma. Introducing a medication that affects the cardiovascular system may be risky during this vulnerable period. When to Avoid Filitra 20 mg (or any PDE5 Inhibitor): Immediately After a Stroke (Recent Stroke): If you've had a stroke recently (especially within the last 6 months), Filitra 20 mg should generally be avoided. Your body needs time to recover, and the effects of such medications on the circulatory system may pose a risk during this period. Always follow your doctor's advice before taking any ED medications post-stroke. If You Have Uncontrolled High Blood Pressure or Low Blood Pressure: If you have high blood pressure or low blood pressure that isn’t properly managed or controlled, the medication could cause dangerous fluctuations in blood pressure. These fluctuations can increase your risk of stroke recurrence or other cardiovascular events. If You Have a History of Cardiovascular Problems: Since a stroke is a form of cardiovascular disease, if you have a history of heart disease, arrhythmia, or have been diagnosed with other serious heart conditions, Filitra 20 mg might not be recommended due to its impact on the heart and blood pressure.