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Sildenafil is the active ingredient in the oral drug Zudena Pills , which is prescribed to treat ED.Zudena  aids men in achieving and sustaining an erection during periods of heightened sexual desire because it increases blood flow to the penis. A physician will determine the appropriate Zudena dosage based on the patient's needs and health. Common side effects include headache, flushing, indigestion, nasal congestion, and abnormalities in vision.