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Fildena CT 50, like all medications, carries potential side effects such as headache, flushing, indigestion, nasal congestion, and vision changes. Rare but serious side effects include prolonged erection (priapism) or sudden vision or hearing loss. Individuals with certain pre-existing conditions (e.g., cardiovascular disease) or taking specific medications (e.g., nitrates) should exercise caution and seek medical advice before use.