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Fildena Double 200 mg is a higher dosage compared to standard sildenafil citrate tablets (typically 25 mg, 50 mg, or 100 mg). It is intended for men who require a stronger effect to achieve satisfactory results in treating ED. It contains 200 mg of sildenafil citrate, which is the same active ingredient found in Viagra and other sildenafil-based medications. Sildenafil citrate works by increasing blood flow to the penis during sexual stimulation, helping to achieve and maintain an erection.