Men use Fildena Double 200 mg to treat erectile dysfunction and impotence. One of the medication's ingredients, sildenafil, aids men in achieving powerful erections during intercourse. Take this medication half an hour before having any sexual activity with your partner to make sure you can enjoy it. This medication can be taken with or without food. This medication takes four to six hours to start working. Since this medication slows down the condition's effects, avoid taking it with fatty foods or cold beverages. When taking this medication, follow your doctor's directions.