While Fildena Double 200 mg may be effective for men with severe erectile dysfunction who haven’t responded to standard doses, it comes with elevated risks of both mild and serious adverse effects. It should only be used under strict medical supervision, and patients must be vigilant for any signs of complications, especially prolonged erection, vision changes, chest pain, or fainting. For many, a lower dose may offer sufficient results with significantly less risk. Taking Fildena Double 200 mg significantly increases the risk of serious adverse effects, some of which can be life-threatening or cause long-term damage if not addressed promptly. As with any high-dosage medication, users must understand and be cautious of its potential side effects, which can range from mild and temporary to serious and medically urgent.