For older adults (above 65 years old), the recommended dosage of Fildena 50 mg (Sildenafil Citrate) depends on their health condition, tolerance, and medication interactions. Recommended Dosage for Older Adults Start with a lower dose – A 25 mg dose is often recommended initially to assess tolerance and minimize side effects.  If 25 mg is ineffective, a doctor may increase the dose to 50 mg, but only under medical supervision. Take 30-60 minutes before ***** activity with water. Maximum: One dose per day (do not exceed 50 mg in 24 hours). Why a Lower Dose for Older Adults? Slower Metabolism – Sildenafil may stay longer in the body, increasing side effect risks. Higher Sensitivity – Older adults may experience dizziness, blood pressure drops, or vision changes with higher doses.  Drug Interactions – Common medications for hypertension, heart disease, or diabetes may interact with Sildenafil. Who Should Avoid Fildena 50 mg?  Those taking nitrate medications (for chest pain) – Risk of dangerous blood pressure drop. Those with severe liver or kidney disease – A lower dose may be required. Those with uncontrolled hypertension or recent heart issues.