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Common side effects include headache, flushing, dizziness, nasal congestion, or mild digestive discomfort. Severe reactions, such as chest pain, sudden vision or hearing loss, or prolonged erections (lasting more than 4 hours), require immediate medical attention. Fildena Super Active should not be combined with nitrates, alcohol, or certain heart medications, and it is important to consult a qualified healthcare professional before using this medication to ensure safe and effective results.