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Fildena CT 50 mg should not be taken with nitrate medications such as Nitroglycerin, as this can cause a dangerous drop in blood pressure. Caution is also needed in men with heart disease, liver or kidney problems, or those taking interacting medicines. Sildenafil in Fildena CT 50 mg is a phosphodiesterase type 5 (PDE5) inhibitor. It works by blocking the PDE5 enzyme, which increases levels of cyclic GMP (cGMP). This relaxes blood vessels in the penis and improves blood flow during sexual stimulation, helping achieve and maintain an erection.

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