Fildena Super Active contains sildenafil citrate, commonly used to treat erectile dysfunction (ED). However, certain users should consult a doctor before taking Fildena Super Active or any sildenafil-based medication. These include:

1. People with Heart Conditions: Users with a history of heart disease, heart attacks, or irregular heartbeats should consult a doctor, as sildenafil can affect blood pressure and the cardiovascular system.

2. Individuals Taking Nitrates: Those who are currently using nitrates for chest pain or heart-related conditions (such as nitroglycerin) should avoid sildenafil, as the combination can cause a dangerous drop in blood pressure.

3. People with Liver or Kidney Disease: Those with impaired liver or kidney function may require a lower dose or alternative treatments. A doctor should be consulted to assess potential risks and adjust the dosage accordingly.

4. Men with Retinitis Pigmentosa: This inherited eye disorder may cause complications when using sildenafil, so it is important to consult an eye specialist or doctor before use.

5. Individuals with Low Blood Pressure: Sildenafil can lower blood pressure, so it should be used cautiously by those with hypotension.

6. Men with Deformities of the Penis: Conditions like Peyronie's disease (abnormal curvature of the penis) or other anatomical issues may affect the safe use of Fildena Super Active.

7. Users with Allergies to Sildenafil: Those who have had an allergic reaction to sildenafil or other ED medications should avoid using it and consult a healthcare professional.

8. Older Adults: Older individuals (especially those over 65) may experience increased sensitivity to the medication, requiring lower doses or careful monitoring.

9. Those Taking Certain Medications: Individuals taking medications like alpha-blockers (for high blood pressure or prostate issues), antifungal drugs, certain antibiotics, and HIV medications should consult a doctor to avoid potential drug interactions.

Always consult a healthcare provider to ensure that Fildena Super Active is safe based on personal medical history and current medications.

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