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Sildalist Strong 140 mg is a medication that combines two active ingredients: sildenafil citrate and tadalafil. Sildenafil citrate is a phosphodiesterase type 5 (PDE5) inhibitor, similar to tadalafil. It works by increasing blood flow to the penis during sexual stimulation, which helps men achieve and maintain erections. Sildenafil citrate is the active ingredient in Viagra and is primarily used to treat erectile dysfunction (ED).