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Fildena CT 50 mg works by inhibiting the phosphodiesterase type 5 (PDE5) enzyme. During sexual arousal, nitric oxide is released, which increases the production of cyclic guanosine monophosphate (cGMP). cGMP helps relax the blood vessels in the penis, allowing for increased blood flow, which results in an erection. By preventing the breakdown of cGMP, Fildena CT 50 mg helps men with ED achieve and maintain an erection during sexual activity.