Fildena 100 mg contains Sildenafil, which is used to treat erectile dysfunction. Older adults need to be especially cautious because aging often brings changes in heart function, kidney and liver function, and medication metabolism. Here’s a detailed breakdown: Situations Requiring Caution in Older Adults Cardiovascular Conditions Heart disease: Angina, heart failure, history of heart attack, or irregular heart rhythms. Sildenafil can lower blood pressure, which may stress a weak heart. Use with nitrates: If taking nitroglycerin or other nitrate drugs for chest pain, Sildenafil can cause dangerous drops in blood Fildena 100 mg . Kidney or Liver Impairment Reduced kidney or liver function can slow the breakdown of sildenafil, increasing side effects such as dizziness, headache, or prolonged erections. Low Blood Pressure Elderly patients often have lower baseline blood pressure or take antihypertensives. Sildenafil can worsen hypotension. Other Medications Alpha-blockers (for prostate enlargement or high blood pressure): risk of severe blood pressure drop. Certain antifungals, HIV protease inhibitors, or antibiotics can increase sildenafil levels. Eye or Hearing Problems Rarely, sildenafil can cause sudden vision or hearing loss; caution if already at risk. History of Stroke Stroke or transient ischemic attack (TIA) may make cardiovascular stress riskier. General Recommendations for Older Adults Start at a lower dose (often 25–50 mg) rather than jumping to 100 mg. Take under medical supervision if you have heart, kidney, or liver disease. Avoid alcohol in excess, as it increases risk of low blood pressure and dizziness. Report any chest pain, dizziness, or unusual vision changes immediately.