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there are several contraindications for using Fildena 120 mg (which contains sildenafil citrate as its active ingredient). Contraindications are specific situations or conditions in which the use of a medication is not recommended due to the potential risks outweighing the benefits. Here are some contraindications for using Fildena 120 mg:

Nitrates: Fildena 120 mg should not be taken with nitrates or nitric oxide donors, such as nitroglycerin, isosorbide dinitrate, or isosorbide mononitrate. Combining Fildena with nitrates can cause a severe drop in blood pressure, leading to dizziness, fainting, or even a heart attack or stroke. Nitrates are commonly used to treat chest pain (angina) and heart conditions, so it's crucial to avoid combining them with Fildena.

Alpha-Blockers: Fildena 120mg should not be taken with alpha-blockers, medications used to treat high blood pressure (hypertension) and prostate conditions (such as benign prostatic hyperplasia). Combining Fildena with alpha-blockers can further lower blood pressure and increase the risk of hypotension (low blood pressure), dizziness, and fainting.

Hypersensitivity: Individuals who are hypersensitive or allergic to sildenafil citrate or any other ingredients in Fildena 120 mg should not use the medication. Allergic reactions to sildenafil citrate can range from mild skin rash or itching to severe allergic reactions requiring emergency medical attention.

Heart Conditions: Fildena 120 mg should be used with caution in individuals with a history of certain cardiovascular conditions, such as recent heart attack, unstable angina, severe heart failure, or arrhythmias. The medication can increase cardiac workload and may exacerbate underlying heart conditions, so it's essential to consult with a healthcare provider before using Fildena in these situations.

Severe Liver or Kidney Impairment: Fildena 120 mg should be used with caution in individuals with severe liver or kidney impairment, as the medication may be metabolized and eliminated more slowly from the body, leading to an increased risk of side effects. Dosage adjustments may be necessary in these populations, and close monitoring is recommended.

It's important to consult with a healthcare provider before using Fildena 120 mg or any medication for erectile dysfunction, especially if you have underlying health conditions or take other medications. A healthcare provider can assess your individual health needs and circumstances, provide personalized recommendations, and determine the most appropriate treatment approach for your condition.