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Fildena Chewable 100 mg contains sildenafil citrate, the same active ingredient found in medications like Viagra. It's essential to be cautious about potential drug interactions when taking Fildena or any medication containing sildenafil. Here are some common drugs that may interact with sildenafil: Nitrates: Taking sildenafil with nitrates (often prescribed for chest pain) can cause a severe drop in blood pressure, leading to dizziness, fainting, or even a heart attack or stroke. It's crucial to avoid combining Fildena Chewable 100mg with nitrates in any form, including nitroglycerin, isosorbide mononitrate, or isosorbide dinitrate. Alpha-blockers: These medications, prescribed for conditions like high blood pressure and prostate enlargement, can also cause a significant drop in blood pressure when combined with sildenafil. Examples include doxazosin, tamsulosin, and terazosin. If you're taking alpha-blockers, your healthcare provider may need to adjust your dosage of sildenafil. Other medications for erectile dysfunction: Combining sildenafil with other medications used to treat erectile dysfunction can increase the risk of side effects and complications. HIV protease inhibitors: Certain medications used to treat HIV/AIDS, such as ritonavir and saquinavir, can increase the levels of sildenafil in the blood, leading to an increased risk of side effects. Certain antibiotics and antifungal medications: Some antibiotics and antifungal medications can increase the levels of sildenafil in the blood, increasing the risk of side effects. Examples include erythromycin, clarithromycin, ketoconazole, and itraconazole. Grapefruit juice: Grapefruit juice can increase the levels of sildenafil in the blood, leading to an increased risk of side effects. It's best to avoid consuming grapefruit or grapefruit juice while taking sildenafil. Always inform your healthcare provider about all medications, supplements, and herbal products you are taking before starting sildenafil or any new medication. They can help determine if there are any potential drug interactions and adjust your treatment plan accordingly. If you have any questions or concerns about drug interactions with Fildena Chewable 100 mg, please consult your healthcare provider.