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Fildena is intended to work by increasing blood flow to the penis, and increasing energy levels and libido. Viagra is formulated to have its active ingredients take effect within three hours of being ingested. Fildena, on the other hand, is meant to take effect within three hours after it is ingested, but it will not remain effective if taken within thirty minutes to three hours. The active ingredients of Fildena are also said to work better if they are taken with food. However, Fildena is said to be less potent than Viagra and should not be used with other erectile dysfunction drugs such as Luteinizing hormone-releasing hormone (LSH), testosterone, and blood thinners such as warfarin.

Fildena and other herbal Viagra-like drugs are usually combined with a non-toxic herbal dietary supplement that also contains aphrodisiacs and plant extracts that may increase sensations for sexual intercourse. In China, these herbal supplements known as ying shi are commonly used as sexual enhancers. Some countries prohibit the sale of Fildena and other similar drugs, but they are legal in other countries.

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