Zhewitra 20 Mg contains Vardenafil, which is primarily used to treat erectile dysfunction (ED). If you have a heart condition or any cardiovascular issues, it's essential to consult with your healthcare provider before taking Zhewitra 20mg or any medication for ED. Certain heart conditions, such as coronary artery disease, angina, or recent heart attack, may pose risks when taking medications like Vardenafil. These drugs can affect blood pressure and interact with other medications used to manage heart conditions. Your healthcare provider can assess your specific situation, taking into account your medical history, current medications, and overall health, to determine whether it's safe for you to take Zhewitra or any other medication for ED. They may recommend alternative treatments or adjust the dosage based on your individual circumstances. Never self-prescribe medications, especially if you have underlying health conditions. Always seek guidance from a qualified healthcare professional.