Fildena is a medication used to treat erectile dysfunction (ED) in men. It contains sildenafil citrate, the same active ingredient found in Viagra. Erectile dysfunction is when a man has difficulty getting or maintaining an erection firm enough for sexual activity. How does Fildena work? Improves blood flow to the penis: Sildenafil relaxes blood vessels and increases blood FILDENA when you are sexually aroused. Helps you get and maintain an erection: It can make erections easier to achieve and maintain during sexual activity. Requires sexual stimulation: Fildena does not automatically cause an erection and does not directly increase sexual desire or testosterone. Timing: It usually starts working within 30–60 minutes, and its effects may last around 4 hours, although this varies between individuals.