Filitra 40 mg, which contains vardenafil, is commonly prescribed for erectile dysfunction (ED) in older men when other treatments or lifestyle changes have not provided adequate results. It's typically considered for patients who: Have mild to moderate ED: Older men with mild to moderate erectile dysfunction might be prescribed Filitra 40 mg to improve their ability to achieve and maintain an erection. Don't respond well to lower doses: If a lower dose of vardenafil (e.g., Filitra 10 mg or 20 mg) isn’t effective, doctors might increase the dosage to Filitra 40 mg to improve outcomes. Have a medical history of certain conditions: If the patient has conditions such as hypertension, diabetes, or heart disease, Filitra 40 mg might be an option, but with close monitoring. The dosage and use should be tailored to minimize any risks, especially since these conditions can affect blood flow. Are not on nitrates: Older men prescribed Filitra 40 mg must not be using nitrates (commonly prescribed for heart disease) as combining these can cause a dangerous drop in blood pressure. It's important that older men use Filitra 40 mg under the supervision of a healthcare provider due to the potential for side effects and interactions with other medications commonly taken by this age group.