Individuals who have recently experienced a stroke or heart attack should generally avoid using Fildena 150 mg or any medication containing sildenafil citrate, the active ingredient in Fildena. Here's why:

Cardiovascular Risk: Sildenafil citrate, the active ingredient in Fildena, can exert cardiovascular effects by dilating blood vessels throughout the body, including those in the heart and brain. This can lead to a temporary decrease in blood pressure. In individuals who have recently had a stroke or heart attack, the cardiovascular system may still be compromised, and the heart may be unable to tolerate additional stress or changes in blood pressure.

Interaction with Nitrates: Individuals who have recently had a stroke or heart attack are often prescribed medications called nitrates, such as nitroglycerin, to manage chest pain (angina) or other cardiovascular symptoms. Combining Fildena 150 Mg with nitrates can lead to a dangerous drop in blood pressure, potentially causing hypotension (low blood pressure), fainting, or even cardiovascular collapse. Therefore, it is essential to avoid using Fildena or any medication containing sildenafil citrate if you are taking nitrates.

Increased Cardiovascular Risk: Stroke and heart attack are indicative of underlying cardiovascular disease, which can increase the risk of adverse effects associated with medications like Fildena. These adverse effects may include changes in heart rhythm, chest pain, shortness of breath, and other symptoms indicative of cardiovascular instability.

Consultation with Healthcare Provider: Individuals who have recently had a stroke or heart attack should consult with their healthcare provider before using Fildena or any medication for erectile dysfunction (ED). Healthcare providers can assess the individual's cardiovascular health, review medication history, and provide personalized recommendations based on their specific circumstances. Alternative treatments for ED may be considered, or adjustments to the medication regimen may be necessary to minimize cardiovascular risks.

In summary, individuals who have recently had a stroke or heart attack should avoid using Fildena 150 mg or any medication containing sildenafil citrate without consulting with their healthcare provider. It's essential to prioritize cardiovascular health and safety and to follow medical advice for managing ED in this population.