Fildena Double 200 mg Tablet

Fildena Double 200 mg Tablet is a prescription sildenafil citrate tablet used for erectile dysfunction in adult men. Each tablet contains 200 mg of sildenafil citrate, which is a phosphodiesterase type 5 (PDE5) inhibitor. It helps increase blood flow to the penis during sexual stimulation so an erection can occur. Fildena Double 200 mg Tablet is a higher-strength option and should be used only when a clinician has decided this dose is appropriate.

How it works: Sildenafil citrate relaxes the blood vessels in the penis by blocking the PDE5 enzyme, which allows more blood to flow in when you are sexually aroused. As a tablet, Fildena Double 200 mg Tablet is swallowed and absorbed through the digestive tract before it starts working.

Fildena Double 200 mg Tablet is a very high-strength sildenafil tablet, so it is not a routine starting dose for most people. Doctors may consider this strength only for patients who have not responded well to lower doses and who can safely use sildenafil. Because it contains 200 mg in one tablet, side effects may be more likely than with lower-strength sildenafil tablets.

• Erectile dysfunction
• Difficulty getting or keeping an erection
• Adult men prescribed sildenafil by a doctor
• As needed before planned sexual activity

• Swallow the Fildena Double 200 mg Tablet whole with water; do not crush or split it unless your prescriber says otherwise.
• Take it about 30 to 60 minutes before sexual activity.
• Do not take more than one tablet in 24 hours.
• A heavy, high-fat meal may delay how fast the tablet starts working.
• Sexual stimulation is still needed for the medicine to work.
• Only use this 200 mg strength if your doctor specifically prescribed it.

Each Fildena Double 200 mg Tablet provides 200 mg of sildenafil citrate in one tablet, which is a higher-than-usual strength. Your doctor decides whether this dose is appropriate and how often you may take it; it is generally taken only as needed, not on a regular multiple-times-per-day schedule. Do not take more than 1 tablet in 24 hours.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Sildenafil Citrate may include:

• Headache
• Flushing
• Dizziness
• Indigestion or upset stomach
• Nasal congestion
• Blurred vision or color tinge to vision
• These effects may be more noticeable with the 200 mg strength

• This is a high-strength sildenafil tablet, so use extra caution and follow your prescriber’s instructions exactly.
• Do not use Fildena Double 200 mg Tablet if you take nitrates for chest pain, because the combination can cause a dangerous drop in blood pressure.
• Tell your doctor if you have heart disease, low blood pressure, a recent stroke, or a recent heart attack before using this tablet.
• Limit alcohol, since it can worsen dizziness and lower blood pressure.
• Avoid driving or operating machinery until you know how the tablet affects you, especially at this higher strength.
• Do not take it with other ED medicines or with recreational drugs that contain nitrates.
• Get medical advice if you have penile anatomy problems, sickle cell disease, leukemia, or multiple myeloma.

• Nitrates such as nitroglycerin or isosorbide
• Alpha-blockers used for prostate symptoms or blood pressure
• Other PDE5 inhibitors or ED treatments
• Riociguat
• Certain antibiotics, antifungals, and HIV medicines that can raise sildenafil levels

Store Fildena Double 200 mg Tablet at room temperature in the original strip/box, away from moisture, heat, and direct light.