Fildena Double 200 mg Tablet (Sildenafil)
Fildena Double 200 mg contains Sildenafil Citrate, a medicine used for erectile dysfunction (ED) in adult men. It belongs to the PDE5 inhibitor group and supports blood flow to the penis during sexual arousal. Each tablet contains 200 mg of sildenafil, which is above the usual maximum recommended ED dose of 100 mg.
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| Brand | Fildena Double 200 mg |
| Active ingredient | Sildenafil Citrate 200 mg |
| Drug class | PDE-5 inhibitor |
| Used for | Erectile dysfunction |
| Dosage form | Film-coated oral tablet |
| Manufacturer | Fortune Healthcare Pvt. Ltd., India |
| Pack | Strip of 10 tablets |
| Prescription | Required |
| Storage | Below 30°C, dry place, away from light |
| Dispatch | Within 24–48 hours |
| Delivery | Estimated 10–12 days |
What is Fildena Double 200 mg?
Fildena Double 200 mg is a sildenafil medicine manufactured by Fortune Healthcare, an Indian pharmaceutical company. Each tablet contains 200 mg of Sildenafil Citrate, an ingredient commonly prescribed for erectile dysfunction.
Erectile dysfunction occurs when a man repeatedly experiences difficulty getting or maintaining an erection during sexual activity.
This condition may be associated with poor blood circulation, diabetes, cardiovascular problems, stress, or certain medications.
Sildenafil is also the active ingredient in Viagra. It works by supporting the natural erection process rather than creating an erection automatically.
The main difference between Fildena Double and standard sildenafil tablets is the amount of active ingredient.
A 200 mg tablet contains twice the recommended maximum sildenafil dose for ED. Therefore, it should not be considered a routine alternative to prescribed lower-strength tablets.
What is Fildena Double 200 mg used for?
Fildena Double 200 mg contains sildenafil, which is used in the medical treatment of erectile dysfunction.
Sildenafil helps men who experience difficulty achieving or maintaining an erection during sexual activity.
Its therapeutic effects include:
- Supporting blood circulation in penile tissues.
- Helping achieve an erection during sexual stimulation.
- Improving the ability to maintain an erection in men with ED.
Sildenafil does not increase sexual desire or permanently cure erectile dysfunction.
Although its active ingredient treats ED, the 200 mg strength is above the recommended maximum dose and requires specialist medical assessment.
How does Fildena Double 200 mg work?
An erection begins when sexual stimulation causes the body to release nitric oxide in the penis.
This substance helps produce cyclic guanosine monophosphate, commonly known as cGMP.
The cGMP chemical relaxes smooth muscles in penile blood vessels, allowing additional blood to enter the penis.
An enzyme called PDE5 normally breaks down cGMP.
Sildenafil temporarily blocks this enzyme, allowing cGMP to remain active longer during sexual stimulation.
As blood flow increases, the penis can become firm enough for sexual activity.
However, sildenafil requires sexual stimulation to work. It does not directly affect sexual desire.
Taking a higher dose does not change this mechanism or guarantee a stronger erection.
How to take Fildena Double 200 mg
Fildena Double 200 mg should not be used as a standard ED dose because it exceeds the recommended maximum.
Doctors usually begin sildenafil treatment with 50 mg. Depending on the patient’s response and medical condition, the prescribed dose may be adjusted between 25 mg and 100 mg.
General instructions for prescribed sildenafil include:
- Take the prescribed dose approximately one hour before sexual activity.
- Sildenafil may be taken between 30 minutes and four hours beforehand.
- Swallow standard oral tablets with water.
- The medicine can be taken with or without food.
- A heavy, high-fat meal may delay its effects.
- Do not take sildenafil more than once within 24 hours.
- Never increase the prescribed dose without medical advice.
A 200 mg tablet should not be divided unless a pharmacist confirms that the specific tablet can be split accurately.
How long does Fildena Double 200 mg take to work and how long does it last?
Sildenafil generally begins working within 30 to 60 minutes after taking a prescribed dose.
The effects commonly remain noticeable for approximately four hours, although individual responses vary.
This does not mean an erection continues throughout that period. Sexual stimulation is still required.
Food intake, age, metabolism, and other medicines may affect the timing.
A large meal can delay absorption, while certain medical conditions may change how the body processes sildenafil.
Taking 200 mg does not mean the medicine will work twice as quickly or remain effective twice as long as 100 mg.
What are the side effects of Fildena Double 200 mg?
Like other sildenafil medicines, Fildena Double 200 mg can cause unwanted effects.
Higher sildenafil exposure may increase the likelihood or severity of certain reactions.
Common side effects
Possible side effects include:
- Headache
- Facial flushing
- Dizziness
- Nasal congestion
- Indigestion
- Nausea
- Blurred vision
- Changes in colour vision
- Sensitivity to light
These symptoms may be temporary, but persistent or troublesome effects should be discussed with a healthcare professional.
Serious side effects – stop and get medical help right away
Seek urgent medical attention if you experience:
- An erection lasting longer than four hours.
- Sudden vision loss.
- Sudden hearing loss.
- Chest pain or fainting.
- Severe dizziness.
- Difficulty breathing or facial swelling.
A prolonged erection can cause permanent penile damage without prompt treatment.
Fildena Double 200 mg interactions
Sildenafil can interact with other medicines, health conditions, and certain foods.
These interactions may increase sildenafil exposure or cause dangerous changes in blood pressure.
Drug interactions
Important interactions include:
- Nitrates: Nitroglycerin and isosorbide must not be combined with sildenafil.
- Riociguat: Combining these medicines is contraindicated.
- Alpha-blockers: Medicines such as doxazosin may increase dizziness and low blood pressure.
- Antifungals: Ketoconazole and itraconazole may increase sildenafil concentrations.
- Antibiotics: Clarithromycin may affect sildenafil metabolism.
- Other ED medicines: Combining sildenafil with tadalafil or vardenafil is not recommended without specialist direction.
Always provide your doctor with a complete list of your medicines.
Disease interactions
Sildenafil requires additional caution in people with certain medical conditions.
These include:
- Heart disease
- Previous heart attack or stroke
- Low blood pressure
- Severe kidney disease
- Liver problems
- Certain eye disorders
- Bleeding disorders
- Conditions associated with prolonged erections
A healthcare professional should review these conditions before prescribing treatment.
Food and alcohol interactions
A high-fat meal may delay sildenafil absorption.
Drinking excessive alcohol may worsen erectile dysfunction and increase dizziness or low blood pressure.
Grapefruit products can also affect sildenafil metabolism.
Discuss regular alcohol consumption and dietary concerns with your healthcare professional.
Precautions and warnings
Fildena Double 200 mg contains more sildenafil than the recommended maximum dose for erectile dysfunction.
Patients should consider several precautions:
- Avoid sildenafil if you take nitrate medicines or riociguat.
- Inform your doctor about existing heart conditions.
- Do not combine sildenafil with other ED medicines.
- Avoid driving if dizziness or visual disturbances occur.
- Tell your doctor about kidney or liver problems.
- Never increase the dose because treatment appears ineffective.
Older adults and patients with certain medical conditions may require lower sildenafil doses.
Fildena Double is not intended for children or routine ED treatment in women.
What if I miss a dose or take too much?
Sildenafil for ED is generally taken when needed rather than according to a daily schedule.
Therefore, a missed dose is usually not applicable.
Never take an additional tablet to compensate for a missed opportunity or delayed response.
Taking too much sildenafil may cause severe headaches, dizziness, low blood pressure, vision changes, or prolonged erections.
If you accidentally take more than your prescribed amount, contact a healthcare professional or poison control service immediately for advice.
Seek emergency assistance for serious symptoms.
Fildena Double 200 mg strengths and alternatives
Sildenafil is available in several strengths, allowing doctors to select an appropriate dose.
| Medicine | Strength | Dosage Information |
|---|---|---|
| Fildena 25 mg | Sildenafil 25 mg | Lower-strength option |
| Fildena 50 mg | Sildenafil 50 mg | Common starting strength |
| Fildena 100 mg | Sildenafil 100 mg | Maximum recommended ED strength |
| Fildena Double 200 mg | Sildenafil 200 mg | Above recommended maximum |
If sildenafil does not provide satisfactory results, a doctor may consider another treatment or investigate underlying health conditions.
Fildena Double 200 mg vs Viagra 100 mg
Fildena Double and Viagra contain the same active ingredient but differ in strength and regulatory approval.
| Features | Fildena Double 200 mg | Viagra 100 mg |
|---|---|---|
| Active Ingredient | Sildenafil Citrate | Sildenafil Citrate |
| Strength | 200 mg | 100 mg |
| Manufacturer | Fortune Healthcare | Pfizer/Viatris |
| Medicine Class | PDE5 Inhibitor | PDE5 Inhibitor |
| FDA Approval | Not FDA-approved | FDA-approved |
| Dose Status | Above recommended maximum | Maximum recommended ED dose |
A higher strength does not automatically provide better effectiveness or improved safety.
How to store Fildena Double 200 mg
Proper storage helps protect medicine quality.
- Keep tablets in their original packaging.
- Store according to the manufacturer’s temperature instructions.
- Avoid moisture, excessive heat, and sunlight.
- Keep medicines away from children and pets.
- Check the expiry date before use.
- Do not use damaged or unidentified tablets.
Ask your pharmacist about safe disposal of expired medicine.
Why buy Fildena Double 200 mg from GoodRxTab?
Before considering Fildena Double 200 mg from GoodRxTab, customers should review the available product information carefully.
Important details include:
- Product information: Check the active ingredient and strength.
- Manufacturer details: Verify the listed manufacturer.
- Packaging: Review pack size and expiry information.
- Prescription requirements: Confirm necessary medical documentation.
- Delivery information: Check shipping conditions and location restrictions.
- Customer support: Request clarification when product details are unclear.
Only use appropriately licensed pharmacies and obtain medical advice before considering sildenafil treatment.
The 200 mg strength requires particular caution because it exceeds the recommended maximum ED dose.
Frequently asked questions
Is Fildena Double 200 mg the same as Viagra?
Both contain Sildenafil Citrate. However, Fildena Double contains 200 mg, while the highest FDA-approved Viagra strength for ED is 100 mg.
How long does Fildena Double 200 mg take to work?
Sildenafil generally begins working within 30 to 60 minutes. A higher dose does not guarantee faster results.
How long does Fildena Double 200 mg last?
Sildenafil commonly supports erectile response for approximately four hours, although individual effects vary.
Can I take Fildena Double 200 mg every day?
No. The 200 mg strength exceeds the recommended maximum sildenafil dose for ED and should not be used routinely.
Can I take Fildena Double 200 mg with food?
Food may delay sildenafil absorption, particularly after a high-fat meal. Eating does not reduce the risks associated with a 200 mg dose.
Can I drink alcohol with Fildena Double 200 mg?
Excessive alcohol can increase dizziness and interfere with erectile function. Discuss alcohol use with your healthcare professional.
Can Fildena Double 200 mg be split in half?
Do not split the tablet unless a pharmacist confirms that the specific formulation can be divided accurately and safely.
Does Fildena Double 200 mg increase sexual desire?
No. Sildenafil does not increase sexual desire. Sexual stimulation remains necessary for the medicine to work.
Is 200 mg of sildenafil a recommended dose for ED?
No. The maximum recommended sildenafil dose for erectile dysfunction is 100 mg.
What should I do if Fildena Double 200 mg does not work?
Do not take another tablet. Consult a healthcare professional to discuss the possible reasons and appropriate treatment alternatives.
Do I need a prescription for Fildena Double 200 mg?
Sildenafil for ED requires a prescription in the United States and many other countries. Fildena Double 200 mg is not FDA-approved in the United States.
The information provided on this product page is intended for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional before using any medicine.
Customer Reviews
5 published reviews



Good service and easy ordering process. Delivery was on time, but some items were unavailable. Overall, an average experience.
It’s great for erectile dysfunction. My doctor recommended me this medicine and now am so happy that he did.
Super easy, reliable and excellent product
Every time I have ordered it has been prompt and everything done with excellence.
Excellent customer service and fast response.