If Filitra contains vardenafil, physical dependence is not considered a typical effect. Vardenafil is a PDE5 inhibitor and does not produce the type of physical dependence associated with addictive drugs. A few distinctions are useful: Physical dependence: The body adapts to a drug and produces withdrawal symptoms when it is stopped. This is not an expected feature of vardenafil. Tolerance: Needing progressively higher doses for the same effect is also not a typical reason to use higher vardenafil doses. Psychological reliance: Some people may feel less confident having sex without an ED medicine, but that is different from physical dependence. Stopping Filitra: People generally do not need to taper vardenafil; however, the underlying erectile dysfunction may still be present after stopping it. If someone feels they cannot have sex without Filitra, discussing the concern with a healthcare professional can help identify whether ED, anxiety, relationship factors, or another health issue is contributing.