The active ingredient sildenafil is a PDE-5 enzyme inhibitor, which helps relax the muscles in the penile arteries that increase blood flow leading to an erection when paired with mental or physical sexual stimulation. Fildena Pills are also used to treat sexual problems in men. Take one dose of Fildena Pills about an hour before sexual activity. A single dose can be effective for 4 to 6 hours. Do not consume fatty foods or alcoholic beverages with this medicine.