Fildena Super Active (a fast-acting form of sildenafil for erectile dysfunction), it’s important to do some mandatory health checks to ensure safety, because sildenafil affects blood flow and the heart. Key checks include: 1. Cardiovascular Assessment Blood pressure: Both high and low blood pressure can increase risk of complications. Heart health check: ECG (electrocardiogram) to detect heart rhythm issues. History of heart disease: Especially recent heart attack, stroke, or unstable angina. Assessment of nitrate use: Sildenafil should never be combined with nitrates, as it can cause dangerous drops in blood pressure. Fildena Super Active and Liver Function Tests Kidney function (creatinine, eGFR): Impaired kidneys can affect drug clearance. Liver function (AST, ALT, bilirubin): Severe liver disease can increase risk of side effects. 3. Eye Health (Optional but Recommended) Sildenafil may rarely affect vision, so an eye exam is suggested if the patient has retinitis pigmentosa or other retinal conditions. 4. General Health Check Diabetes check: Diabetes can affect erectile function and interact with medications. Other medications: Review current drugs for potential interactions (e.g., alpha-blockers, antifungals, HIV medications).   Men with serious heart disease, low blood pressure, recent stroke, or severe kidney/liver disease may be advised against taking Fildena Super Active. A doctor may start with a lower dose and monitor for side effects.