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Vilitra 80 mg is considered a high-strength dose, and it is typically prescribed only when lower doses are not effective. Because of its potency, it is important to take this medication under medical supervision to avoid potential risks. Common side effects may include headache, flushing, dizziness, nasal congestion, and stomach discomfort. In rare cases, more serious side effects like vision changes, chest pain, or prolonged erections can occur and require immediate medical attention.