Filitra 20, which contains vardenafil, is a medication used to treat erectile dysfunction by increasing blood flow to the penis. While generally effective, its use in patients with kidney disease requires caution. The kidneys play a role in eliminating drugs from the body, and impaired renal function can lead to slower drug clearance, increasing the risk of side effects. In patients with mild to moderate kidney disease, Filitra 20mg may be used at a lower dose under close medical supervision. However, in cases of severe renal impairment or end-stage renal disease, the safety and efficacy of Filitra have not been well established. Therefore, patients with kidney disease should consult a healthcare provider before using Filitra 20. A physician may suggest alternative treatments or adjust the dosage based on kidney function and overall health status. Additionally, potential interactions with other medications used for kidney conditions should be evaluated to avoid adverse effects. Regular monitoring is advisable during treatment.