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Sildamax 100 Mg, which contains Sildenafil (the same active ingredient found in Viagra), should not be taken by individuals who are using nitrate medications for heart problems, such as: Nitroglycerin Isosorbide dinitrate or isosorbide mononitrate Nitrates found in certain heart medications Why Should Nitrates and Sildamax 100 Mg Be Avoided Together? Both Sildenafil (Sildamax 100mg) and nitrate medications work by relaxing and widening blood vessels to improve blood flow. However, when combined, they can cause a dangerously low drop in blood pressure (hypotension). This can lead to: Dizziness Fainting Heart attack or stroke (in severe cases) Lightheadedness or extreme weakness Since nitrates are often prescribed to treat angina (chest pain) and other heart conditions, combining them with Sildamax can significantly increase the risk of serious cardiovascular complications. Who Should Avoid Sildamax 100 Mg? In addition to people on nitrates, Sildamax 100 Mg should also be avoided by those with: Severe Heart Conditions: Such as severe heart failure or recent heart attack. Severe Low Blood Pressure: If you have a history of low blood pressure (hypotension). Liver or Kidney Issues: Severe liver or kidney disease may require dose adjustments or alternative treatments. Retinal Disorders: If you have a history of vision problems such as non-arteritic anterior ischemic optic neuropathy (NAION), you should avoid Sildamax. Other Medications: Be cautious if you are using other medications that interact with Sildenafil, such as certain anti-fungal medications, HIV protease inhibitors, or some antibiotics. If you are on nitrate medications for heart problems, it is important to avoid using Sildamax 100 Mg or any Sildenafil-based medication. Always consult with your doctor to find the safest treatment for erectile dysfunction, especially if you have underlying heart conditions or are taking nitrates.