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As a healthcare provider, I can't offer specific medical advice without knowing more about the individual's medical history and current health status. However, Fildena, which contains sildenafil, is a medication commonly used to treat erectile dysfunction (ED). It's important to note that sildenafil can have interactions with certain heart medications and may not be safe for men with certain heart conditions. Men with heart problems, especially those taking medications like nitrates for chest pain (angina), should consult their healthcare provider before using Fildena or any other medication for erectile dysfunction. The combination of sildenafil with nitrates can cause a significant drop in blood pressure, which can be dangerous. Healthcare providers can assess an individual's overall health and determine if medications like Fildena are safe for them to use. They may recommend alternative treatments for erectile dysfunction or adjust existing medications to minimize potential risks. It's essential for individuals with heart problems to communicate openly with their healthcare provider about all medications they are taking, including over-the-counter and herbal supplements, to ensure their safety and well-being.