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Sildenafil citrate is a phosphodiesterase type 5 (PDE5) inhibitor, which works by relaxing the blood vessels in the penis, allowing more blood to flow into the erectile tissues and facilitating the development and maintenance of an erection. Fildena double 200 is usually taken orally, typically about 30 minutes to an hour before sexual activity, and its effects can last for up to 4-6 hours.
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