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Fildena 120 mg is generally effective in treating ED, but individual responses may vary. It's important to note that Fildena 120 mg, like other ED medications, works best when combined with sexual stimulation. Fildena 120 mg should be taken approximately 30 minutes to 1 hour before sexual activity. It can remain effective for up to 4-6 hours after ingestion, although this duration can vary from person to person.