Yes, it is strongly recommended to have a medical evaluation before starting Fildena. Fildena contains sildenafil citrate, a PDE5 inhibitor used to treat erectile dysfunction (ED). While it is effective for many men, it is not suitable for everyone.

A medical evaluation helps determine whether ED is caused by underlying conditions such as heart disease, diabetes, high blood pressure, hormonal imbalance, or psychological factors. In some cases, erectile dysfunction can be an early warning sign of cardiovascular disease. Identifying and managing these conditions is important for both safety and long-term health.

Sildenafil affects blood vessels and lowers blood pressure. If you are taking nitrate medications, certain heart drugs, alpha-blockers, or other blood pressure medications, combining them with Fildena can cause a dangerous drop in blood pressure. A healthcare provider will review your medication list to prevent harmful interactions.

Men with liver or kidney disease may require dose adjustments. Those with a history of stroke, heart attack, severe hypotension, or vision disorders also need careful assessment before use.

A doctor can also recommend the appropriate starting dose, usually 25 mg or 50 mg, rather than starting with a high strength unnecessarily.

In summary, a medical evaluation is not just a formality—it ensures safe use, correct dosing, and identification of any health risks before starting Fildena.