Fildena 120 Mg contains sildenafil citrate and is primarily used to treat erectile dysfunction (ED) in men. When prescribing Fildena 120 Mg or any medication containing sildenafil citrate, healthcare providers should consider dose adjustments for certain special populations to ensure safety and efficacy. These populations may include:

Elderly Individuals: Older adults may metabolize medications differently due to changes in liver and kidney function. Therefore, dose adjustments may be necessary to account for reduced drug clearance and increased susceptibility to side effects.

Patients with Hepatic Impairment: Sildenafil citrate is primarily metabolized by the liver, so individuals with hepatic impairment may experience slower drug metabolism and clearance. Dose adjustments may be needed to prevent potential toxicity or adverse effects.

Patients with Renal Impairment: Sildenafil citrate and its metabolites are primarily excreted through the kidneys. Patients with renal impairment may experience slower drug clearance, leading to higher drug levels in the bloodstream. Dose adjustments may be necessary to avoid potential side effects or toxicity.

Patients Taking Concomitant Medications: Some medications may interact with sildenafil citrate, affecting its metabolism and clearance. For example, drugs that inhibit or induce liver enzymes may alter the pharmacokinetics of sildenafil citrate. Healthcare providers should assess potential drug interactions and adjust the dose of Fildena 120 Mg accordingly.

Patients with Cardiovascular Conditions: Sildenafil citrate can lower blood pressure, so caution is warranted when prescribing Fildena 120 Mg to patients with cardiovascular conditions such as hypertension, hypotension, or recent heart attack or stroke. Dose adjustments may be necessary to minimize the risk of adverse cardiovascular effects.

Patients with Anatomical Deformities of the Penis: Individuals with anatomical deformities of the penis, such as Peyronie's disease, may require dose adjustments or special monitoring when using Fildena 120 Mg. These conditions may increase the risk of complications such as priapism (prolonged erection), which requires immediate medical attention.

It's essential for healthcare providers to conduct a comprehensive medical assessment and consider individual factors when prescribing Fildena 120 Mg or any medication containing sildenafil citrate. Dose adjustments should be made judiciously based on factors such as age, renal and hepatic function, concomitant medications, and presence of underlying medical conditions.