Filitra 10 mg contains vardenafil, which is primarily metabolized in the liver. Because of this, people with liver problems need to take extra precautions. Safety Considerations for Liver Issues: Mild to moderate liver impairment: Filitra 10 mg may be used, but often at lower or adjusted doses. Close monitoring for side effects like dizziness, headache, flushing, or prolonged erections is recommended. Severe liver impairment: Not recommended. The drug may accumulate in the body → increased risk of serious side effects. General precautions: Avoid alcohol, which can worsen liver stress and increase side effects. Take under strict medical supervision if you have any liver disease. Report any unusual symptoms like prolonged erection, severe dizziness, or jaundice. Summary: Mild/moderate liver problems: Use cautiously with doctor guidance. Severe liver problems: Avoid Filitra 10 mg. If you want, I can make a quick guide for all Filitra doses (10, 20, 40 mg) showing liver safety, kidney safety, and side-effect risk, so it’s easy to see which dose is safest for people with liver issues.