Fildena Super Active is a medication used to treat erectile dysfunction (ED). Its active ingredient is Sildenafil, a PDE5 inhibitor, often formulated in a fast-acting or orally disintegrating form for quicker effect. While effective for ED, its safety in heart patients is limited and requires careful consideration. Key considerations for heart patients: Heart disease caution – Men with severe cardiovascular disease, recent heart attack, unstable angina, or stroke should avoid Fildena Super Active unless a doctor specifically approves it. ****** activity itself stresses the heart, and the medication can also lower blood pressure. Nitrate interaction – Fildena Super Active must never be combined with nitrates (used for chest pain, e.g., nitroglycerin). The combination can cause a dangerous drop in blood pressure, potentially leading to fainting, heart attack, or stroke. Blood pressure concerns – Men with low blood pressure (hypotension) or severe uncontrolled high blood pressure should avoid it, as Sildenafil can worsen these conditions. Heart rhythm disorders – Patients with certain arrhythmias or prolonged QT interval need careful evaluation before use. Doctor supervision required – For heart patients, never start Fildena Super Active without consulting a cardiologist. Dosage adjustments or alternative ED treatments may be safer.  Fildena Super Active is generally not safe for heart patients with severe or unstable cardiovascular conditions, nitrate use, or uncontrolled blood pressure. Use is only considered under strict medical supervision.