Super Vilitra, the safest person to assess whether it is appropriate for you is a doctor—preferably a urologist or your primary-care physician. A pharmacist can also screen for medication interactions. Super Vilitra products are commonly marketed as a combination of vardenafil + dapoxetine, so the assessment should consider both drugs and your medical history. A clinician should especially review your situation if you have: Heart disease, chest pain, abnormal blood pressure, or a history of stroke/heart attack. Liver or kidney problems. A history of prolonged erections. Vision or hearing problems. Medicines such as nitrates/poppers, alpha-blockers, blood-pressure medicines, or certain CYP3A4-inhibiting drugs. Vardenafil must not be combined with nitrates and requires caution with alpha-blockers. D DailyMed +1 Other antidepressants or medicines affecting serotonin, because of the dapoxetine component. Also, if your product says Super Vilitra 40, 60, or another unusually high strength, I'd want to verify the exact ingredients and doses before assessing its safety. If you give me the exact strength written on your Super Vilitra package and your other medicines, I can explain the main risks and interactions.