Fildena, which contains sildenafil citrate (similar to Viagra), can cause headaches as a side effect due to its mechanism of action. Fildena works by inhibiting the enzyme phosphodiesterase type 5 (PDE5), leading to increased blood flow to the penis, but it also affects other blood vessels in the body, including those in the brain. This can cause dilation of blood vessels, leading to an increase in blood flow, which can result in headaches. The headache may be mild to moderate and is a common side effect of medications in this class, particularly when the drug lowers blood pressure. Dehydration, overuse, or individual sensitivities may also contribute to the severity of headaches.
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