When using Fildena Super Active or any medication containing sildenafil citrate for the treatment of erectile dysfunction (ED), it's important to take several precautions to ensure safe and effective use. Here are some essential precautions to keep in mind:

1. Prescription Only: Fildena Super Active is a prescription medication. It should only be used under the guidance of a qualified healthcare provider who can assess your suitability for the medication and prescribe the appropriate dosage.

2. Medical History: Inform your healthcare provider of your complete medical history, including any existing medical conditions, especially cardiovascular issues (e.g., heart disease), previous episodes of priapism (prolonged and painful erections), bleeding disorders, kidney or liver problems, and any medications you are currently taking.

3. Avoid Alcohol: Excessive alcohol consumption can reduce the effectiveness of Fildena Super Active and may increase the risk of side effects. Limit alcohol intake when using this medication.

4. Drug Interactions: Discuss all medications and supplements you are taking with your healthcare provider. Fildena Super Active can interact with certain medications, particularly nitrates used for chest pain (angina) and drugs called alpha-blockers used for hypertension and prostate conditions.

5. Avoid Grapefruit: Grapefruit and grapefruit juice can interact with sildenafil and affect its absorption. It's advisable to avoid grapefruit products while using Fildena Super Active.

6. Dosage Compliance: Follow your healthcare provider's prescribed dosage and usage instructions carefully. Do not take more than the recommended dose, as this can increase the risk of side effects without necessarily improving effectiveness.

7. Timing of Medication: To optimize the medication's effectiveness, take Fildena Super Active on an empty stomach or with a light meal. High-fat meals can delay its onset of action.

8. Sexual Stimulation: Fildena Super Active does not cause automatic erections. Sexual arousal and stimulation are necessary for it to work effectively.

9. Priapism: Seek immediate medical attention if you experience an erection that lasts longer than four hours (priapism). Priapism can be painful and may lead to permanent damage if not treated promptly.

10. Side Effects: Be aware of potential side effects, including headache, facial flushing, upset stomach, and nasal congestion. Most side effects are mild and temporary, but if you experience severe or persistent side effects, consult your healthcare provider.

11. Storage: Store the medication as directed on the packaging and keep it out of reach of children.

Remember that Fildena Super Active should only be used as prescribed by a healthcare provider to treat erectile dysfunction. It is not intended for use by women or individuals without ED. If you have any concerns or questions about its use or side effects, consult your healthcare provider for guidance.