Before starting Filagra, it's essential to have an open and honest discussion with your doctor about your medical history, current health status, and any medications or supplements you are taking. Here are some key points to discuss with your doctor before starting Filagra:

1. Medical History: Inform your doctor about any medical conditions you have, especially those related to the cardiovascular system, liver, kidneys, or blood disorders. Conditions such as heart disease, hypertension, low blood pressure, diabetes, and anatomical deformities of the penis may affect the safety and efficacy of Filagra.

2. Current Medications: Provide a comprehensive list of all prescription and over-the-counter medications, as well as any supplements or herbal products you are taking. Certain medications, particularly nitrates (commonly used to treat chest pain), alpha-blockers (used to treat hypertension and prostate enlargement), and other drugs that affect blood pressure, may interact with Filagra and cause adverse effects.

3. Allergies: Inform your doctor of any known allergies or sensitivities you have, especially if you have had allergic reactions to sildenafil or other PDE5 inhibitors in the past.

4. Previous Experience with ED Treatments:  Filagra you have previously used other medications for erectile dysfunction (such as Viagra, Cialis, or Levitra) or experienced any adverse reactions to them, discuss these experiences with your doctor.

5. Sexual Activity: Be prepared to discuss your sexual history and patterns of sexual activity with your doctor. This information can help your doctor assess the appropriateness of Filagra for your situation and provide personalized recommendations.

6. Potential Side Effects: Your doctor should explain the potential side effects of Filagra, including common ones such as headache, flushing, nasal congestion, indigestion, and dizziness, as well as less common but more severe side effects. It's essential to understand the signs of a serious adverse reaction and when to seek medical attention.

7. Alcohol and Recreational Drug Use: Be honest about your alcohol consumption and any recreational drug use. Alcohol and certain drugs may interact with Filagra and increase the risk of side effects or complications.

8. Pregnancy and Breastfeeding: If applicable, inform your doctor if your partner is pregnant, planning to become pregnant, or breastfeeding. While Filagra is not indicated for use in women, it's essential to discuss any potential risks to your partner or unborn child.

By having a thorough discussion with your doctor, you can ensure that Filagra is safe and appropriate for you, and you can receive personalized guidance on its use and potential risks. Your doctor may also perform a physical examination and order tests to assess your overall health and determine the underlying cause of your erectile dysfunction before prescribing Filagra or any other treatment.