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Fildena is a medication primarily used to treat erectile dysfunction (ED) in men. It contains sildenafil citrate, the same active ingredient found in Viagra. Sildenafil works by increasing blood flow to the penis, helping a man achieve and maintain an erection when sexually stimulated. Fildena belongs to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. It is usually taken 30 to 60 minutes before sexual activity, and its effects can last for several hours.