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Fildena Double 200 mg is a high-strength erectile dysfunction (ED) medication that contains 200 mg of sildenafil citrate, the same active ingredient found in Viagra. Taking such a high dose without need can do more harm than good, possibly causing side effects that impact both short-term comfort and long-term health. It’s also important to never take more than one dose in 24 hours, regardless of strength. Ultimately, while Fildena Double 200 mg can be safe and effective for some men, it should be taken only when medically necessary and under proper guidance. Self-medicating with this dose is not recommended.