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Sildamax 100 mg is a medication used to treat erectile dysfunction (ED). It cont Sildenafil citrate is a phosphodiesterase type 5 (PDE5) inhibitor. By blocking the PDE5 enzyme, it increases levels of cyclic GMP (cGMP) in the smooth muscle cells of the penis. This leads to relaxation of the blood vessels and increased blood flow, facilitating an erection during sexual activity.ains sildenafil citrate, the same active ingredient found in Viagra.