Fildena Double 200 mg is a medication containing sildenafil citrate, a phosphodiesterase type 5 (PDE5) inhibitor used to treat erectile dysfunction (ED) in men. It is a high dosage formulation intended for individuals who may require a stronger dose of sildenafil to achieve the desired therapeutic effect. Fildena Double 200 mg refers to the dosage of sildenafil citrate present in each tablet. The "200" in the name indicates that each tablet contains 200 milligrams of sildenafil citrate. This is a relatively high dosage and may be suitable for men with severe erectile dysfunction or those who have not responded adequately to lower doses of sildenafil.