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Fildena is a brand commonly marketed as containing sildenafil citrate, a phosphodiesterase type-5 (PDE5) inhibitor used to treat erectile dysfunction (ED) in adult men. Sildenafil works by increasing blood flow to the penis during sexual stimulation, helping achieve and maintain an erection. Sildenafil does not increase sexual desire and requires sexual stimulation to work. A heavy or high-fat meal may delay its onset. Common side effects include headache, flushing, indigestion, nasal congestion, dizziness, and temporary visual changes.