fildena double 200 mg is an oral drug that makes consistent use easier. This medication can be taken with a glass of water an hour prior to the planned sexual activity. Since fildena is a prescription drug, it is best to consult your physician before taking it.Take the medication as prescribed; do not try to break or split the tablet. When taken with fildena double 200 mg pills, grape juice, wine, or any other alcoholic beverage may cause unexpected adverse effects and interfere with the tablet's regular operation.