Fildena 50 (which contains 50 mg of Sildenafil Citrate) is not a long-term cure for erectile dysfunction (ED), but rather a symptomatic treatment—meaning it helps manage ED on a per-use basis, not eliminate the underlying cause.  Fildena 50 works for a few hours (typically 4–6), helping men achieve and maintain an erection during that time. It does not improve or restore erectile function permanently. Fildena 50 Treat the Cause: ED can be due to physical, psychological, or lifestyle-related issues (e.g., diabetes, heart disease, anxiety, obesity). Fildena doesn’t treat those causes—it just helps get an erection when needed. Long-Term Use Risks: Tolerance is not typical with PDE5 inhibitors, but psychological dependence on pills for sexual confidence can develop. Side effects like headaches, flushing, or visual disturbances may persist or worsen with frequent use. Underlying health issues (e.g., cardiovascular disease) may remain unaddressed. When It Can Be Part of a Long-Term Plan Fildena 50 can be used long-term safely if: You're under medical supervision. The underlying health causes are being managed (e.g., diabetes control, lifestyle changes). You’re not taking contraindicated medications (like nitrates). You're aware it’s for occasional use, not daily without need.