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ildena 200 is a medication used to treat erectile dysfunction (ED) in men. It contains sildenafil citrate, which is the same active ingredient found in Viagra. Fildena 200 is a higher strength version of the medication, with 200 milligrams of sildenafil citrate in each tablet. As with other medications for erectile dysfunction, Fildena 200 works by inhibiting the enzyme phosphodiesterase type 5 (PDE5). By doing so, it helps increase the levels of cyclic guanosine monophosphate (cGMP), leading to smooth muscle relaxation and improved blood flow to the penis when a man is sexually stimulated. This enhanced blood flow facilitates the ability to achieve and maintain an erection.