Dividing Fildena Double 200 tablets is generally not advisable without professional guidance. This high-dose medication contains 200 mg of sildenafil citrate, and splitting it can lead to inconsistent dosing and potential alterations in how the pill is released and absorbed. Uneven doses can reduce effectiveness and increase the risk of side effects. Always consult with your healthcare provider before attempting to split any medication. They can provide guidance on whether it’s safe to do so or if an alternative dosage or medication might be more appropriate for your needs. Proper dosage ensures effective treatment and minimizes risks.