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Fildena Double 200 mg works by increasing blood flow to the penis, which helps men with ED achieve and maintain an erection during sexual activity. It works by blocking the enzyme PDE5, which can interfere with the blood flow needed for an erection. By inhibiting PDE5, Sildenafil allows the smooth muscle in the blood vessels to relax, leading to increased blood flow to the penis during sexual arousal. Fildena Double 200 mg can help manage ED symptoms, allowing men to achieve and sustain an erection while sexually stimulated. The effects typically last 4 to 6 hours.