Malegra Oral Jelly is a fast-acting medication for erectile dysfunction that contains Sildenafil Citrate in a jelly form. While it's effective for many, it’s not suitable for everyone. Here's who should avoid using it: 1. Men Taking Nitrates If you are on medications containing nitrates (often prescribed for chest pain or heart issues), combining them with Sildenafil can cause dangerous drops in blood pressure. 2. Severe Cardiovascular Disorders Men with: Unstable angina Heart failure Recent stroke or heart attack (within the last 6 months) should avoid it unless approved by a doctor. 3. Severe Liver or Kidney Impairment Poor metabolism and Malegra Oral Jelly clearance may lead to toxic accumulation, increasing side effect risks. 4. Allergy to Sildenafil Anyone with a known allergy to Sildenafil or other PDE5 inhibitors should not use this jelly. 5. Low Blood Pressure or Uncontrolled Hypertension Extremely high or low blood pressure may be worsened by the effects of Sildenafil. 6. Other ED Treatments Do not combine with other ED drugs like: Tadalafil (Cialis) Vardenafil (Levitra) Avanafil (Stendra) 7. Retinal Disorders Those with inherited eye conditions like retinitis pigmentosa or non-arteritic anterior ischemic optic neuropathy (NAION) should avoid it due to vision risks.