Fildena 50 contains sildenafil 50 mg (a medicine used for erectile dysfunction). Whether it is safe for a person with liver disease depends on the severity and type of liver problem. Mild liver problems: It may be used in some people, but a doctor may decide Fildena 50 Mg the dose is appropriate. Cirrhosis or reduced liver function: Sildenafil is cleared more slowly, which can increase the amount of medicine in the body. Official prescribing information recommends considering a lower starting dose (25 mg) in people with liver impairment rather than starting directly at 50 mg. Severe liver disease: It should only be used if a doctor specifically approves it, because safety and dosing become more complicated. Avoid taking Fildena 50 without medical advice if you: have cirrhosis, hepatitis with poor liver function, jaundice, or abnormal liver tests take nitrate heart medicines (such as nitroglycerin) .