When is it essential to have a medical evaluation before starting Fildena Double 200 Mg ?

Before starting Fildena Double 200mg, a medical evaluation is essential in the following situations:

1. Cardiovascular Issues: If you have a history of heart problems, such as angina, heart attack, or heart failure, a doctor’s assessment is crucial.
   
2. Blood Pressure Concerns: Those with low blood pressure or uncontrolled high blood pressure should be evaluated.
   
3. Pre-existing Conditions: If you have conditions like diabetes, liver or kidney disease, or severe vision problems, a medical evaluation is necessary.
   
4. Medication Interactions: If you are taking other medications, particularly nitrates or medications for high blood pressure, a doctor can help assess potential interactions.
   
5. Allergic Reactions: If you have known allergies to sildenafil or similar medications, consultation is important.
   
6. Age Considerations: Older adults may require careful evaluation due to the increased risk of side effects.
   

Always consult a healthcare professional before starting any new medication to ensure it’s safe for your specific health situation.