Super Vilitra (which combines vardenafil and dapoxetine) due to the potential effects it can have on your cardiovascular system. The drug can cause changes in blood pressure and affect the heart's ability to handle stress during sexual activity. Here are specific scenarios where Super Vilitra should not be taken or requires careful consultation with a healthcare provider: 1. If You Have Severe Heart Conditions: Uncontrolled heart disease: If you have a history of severe heart conditions like unstable angina (chest pain) or severe heart failure, Super Vilitra should be avoided as it can increase the risk of heart-related issues during physical exertion (including sexual activity). Recent heart attack or stroke: If you have had a recent heart attack (within the last 6 months) or a stroke, taking Super Vilitra is not recommended unless a doctor has assessed your condition and deemed it safe. Severe arrhythmias (irregular heartbeats): If you have an irregular heartbeat, Super Vilitra can potentially worsen your condition. The use of vardenafil (one of the active ingredients) can cause changes in heart rhythm, which may be dangerous. 2. If You Are Taking Nitrate Medications: Nitrates (such as nitroglycerin, isosorbide dinitrate, or isosorbide mononitrate) are commonly prescribed to treat angina (chest pain) and are contraindicated with PDE5 inhibitors like vardenafil. When combined, they can cause a dangerous drop in blood pressure, leading to dizziness, fainting, heart attack, or even death. Do not take Super Vilitra if you are currently on any nitrate medications for chest pain or heart conditions. Always inform your doctor about any nitrate use.