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Fildena 100 mg is an effective treatment for erectile dysfunction with a duration and onset similar to other sildenafil-based medications. It should be used according to the guidance of a healthcare provider to ensure safety and effectiveness, and to manage any potential side effects or interactions. Sildenafil inhibits the PDE5 enzyme, which results in increased levels of cyclic GMP (cGMP). This helps relax the smooth muscles in the blood vessels of the penis, allowing more blood to flow in and sustain an erection.