Filitra 40 mg, which contains vardenafil, does not specifically need to be taken with food. It can be taken with or without food. However, there are a few considerations to keep in mind:

Effectiveness: While Filitra 40 mg can be taken with or without food, consuming a large or high-fat meal shortly before taking the medication might delay its absorption and onset of action. High-fat meals can slow down the rate at which vardenafil is absorbed into the bloodstream.

Timing: To optimize the medication's effectiveness, it’s generally recommended to take Filitra 40 mg about 30 to 60 minutes before planned sexual activity. If you have a large meal before taking it, the onset of action may be delayed.

Consistency: Try to take the medication at the same time relative to meals each time to maintain consistency in how the drug affects you.

Personal Experience: Individual responses can vary. If you find that taking the medication with or without food impacts its effectiveness or your experience, adjust accordingly and consult with your healthcare provider if needed.

For specific guidance based on your health and lifestyle, it’s always best to consult with your healthcare provider.