Fildena 120 mg contains sildenafil, its main effect is physical, not psychological. Performance anxiety: Sildenafil does not directly treat anxiety. However, if anxiety causes difficulty getting or maintaining an erection, improving erectile reliability may reduce worry and increase confidence during sex. It does not increase sexual desire or eliminate anxious thoughts. 120 mg is a concern: Standard sildenafil labeling Fildena 120 mg  as the maximum recommended dose once per day. A 120 mg dose is therefore above the standard recommended maximum. Higher doses don't necessarily improve performance and may increase adverse effects such as headache, flushing, dizziness, indigestion, and visual disturbances. Never combine sildenafil with nitrate medicines (such as nitroglycerin), because this can cause a dangerous drop in blood pressure. If your main problem is performance anxiety rather than a persistent erection problem, addressing the anxiety itself—often through counseling/sex therapy, relaxation techniques, and reducing pressure to “perform”—can be more useful than taking a higher sildenafil dose. If you tell me your age and whether you can normally get erections when masturbating or waking up, I can explain whether your problem sounds more like performance anxiety or erectile dysfunction.