Men with erection and impotence issues take Fildena 50 . sildenafil is an ingredient in this medication that helps men's penile tissues receive more blood flow. Take this medication half an hour prior to sexual activity so that you can enjoy quality time with your partner. This medication can be taken either before or after a meal. Only men who are at least eighteen years old should use this medication. Consume this medication with water; do not crush or chew the tablet. Follow your doctor's advice when taking this medication.