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Fildena Double 200 Mg should not be taken if you have a heart condition, such as high blood pressure, coronary artery disease, or an irregular heartbeat. It can also interact with other drugs, so it’s important to discuss any medications you are currently taking with your doctor prior to using Fildena Double 200 Mg. Additionally, taking this medication can cause an unsafe drop in blood pressure when combined with alcohol or certain other drugs.