Fildena is a medication used to treat erectile dysfunction (ED). It contains Sildenafil, which is the same active ingredient as in Viagra. However, certain medical conditions may affect the safety or effectiveness of Fildena. It is important to consult a healthcare provider before using this medication, especially if you have any of the following conditions: 1. Heart Conditions: Recent heart attack or stroke: If you’ve had a heart attack or stroke within the past 6 months, using Fildena could pose risks. Angina or chest pain: If you have chest pain or unstable angina, taking Fildena may worsen these conditions. Low blood pressure: Fildena can lower blood pressure, which might be dangerous for individuals with hypotension (low blood pressure). 2. Liver Problems: If you have severe liver disease or impaired liver function, Fildena may need to be avoided or adjusted in dosage. The liver metabolizes the medication, and a compromised liver may affect how well Fildena works or increase the risk of side effects. 3. Kidney Disease: Severe kidney disease: As the kidneys also play a role in processing the drug, individuals with kidney issues may require a dosage adjustment or may not be able to use Fildena at all.