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Fildena Professional is a medication used to treat erectile dysfunction (ED) and contains the active ingredient sildenafil citrate, similar to Viagra. It's specifically designed to help men achieve and maintain an erection when sexually aroused. Key Points about Fildena Professional for Severe ED: Dosage and Formulation: Fildena Professional 100 mg: This is a common dosage for moderate to severe ED. It’s chewable, allowing for quicker absorption and onset of action. Fildena 150 mg: For more severe cases, this higher dosage may be considered, but it’s important to consult a healthcare provider for proper evaluation and prescription. Mechanism of Action: Sildenafil works by increasing blood flow to the penis by relaxing the blood vessels in the penile region during sexual stimulation, leading to an erection. Onset and Duration: Fildena Professional typically takes about 30 minutes to an hour to start working and can last for up to 4-6 hours. Considerations: Consultation: It’s essential to consult with a healthcare provider to determine the right dosage and assess any potential interactions with other medications or health conditions. Side Effects: Common side effects may include headaches, flushing, indigestion, nasal congestion, and dizziness. Severe side effects are rare but can include sudden vision loss or an erection lasting more than 4 hours (priapism). Alternatives: If Fildena Professional is not effective or suitable, other options include different PDE5 inhibitors like tadalafil (Cialis) or vardenafil (Levitra), or treatments like vacuum erection devices, injections, or penile implants.