Yes, there are potential risks and complications associated with taking Vilitra 60 mg (sildenafil) or Viagra that a healthcare professional can help mitigate. Here are some of the risks and complications and how they can be addressed:

1. Cardiovascular Risks:
   • Sildenafil can lower blood pressure, which may pose risks for individuals with cardiovascular disease or those taking medications that affect blood pressure. A healthcare professional can evaluate the cardiovascular risk and adjust the dosage or recommend alternative treatments if necessary.
2. Drug Interactions:
   • Sildenafil can interact with other medications, particularly nitrates, alpha-blockers, and certain antifungal or antiviral drugs. A healthcare professional can review the patient’s medication list to identify potential interactions and adjust the treatment plan accordingly.
3. Priapism:
   • Priapism, a prolonged and painful erection lasting more than 4 hours, is a rare but serious side effect of sildenafil. A healthcare professional can educate the patient on recognizing the symptoms of priapism and provide guidance on what to do in case it occurs.
4. Vision Changes:
   • Sildenafil may cause temporary vision changes or vision loss in rare cases. A healthcare professional can discuss the risk of vision changes and advise patients to seek immediate medical attention if they experience sudden vision loss or changes in vision.
5. Hearing Loss:
   • Sudden hearing loss or ringing in the ears (tinnitus) has been reported in some individuals taking sildenafil. A healthcare professional can inform patients about this potential risk and recommend seeking medical advice if hearing changes occur.