To take Fildena Extra Strong 150 mg, swallow one tablet with a full glass of water about 30 to 60 minutes before planned sexual activity. It should be taken on an empty stomach or after a light meal, as fatty foods can delay its effectiveness. Avoid alcohol and recreational drugs, as they may reduce the drug’s effectiveness or increase side effects. Fildena 150 mg is a high-strength dose, typically prescribed for men with severe erectile dysfunction, so it should only be used under medical supervision to ensure safety.