Super Fildena is a medication that typically contains two active ingredients: sildenafil citrate and dapoxetine. Sildenafil citrate is primarily used to treat erectile dysfunction (ED), while dapoxetine is used to treat premature ejaculation.

Sildenafil citrate, the active ingredient in Super Fildena works by inhibiting an enzyme called phosphodiesterase type 5 (PDE5). By inhibiting PDE5, sildenafil citrate increases the levels of cyclic guanosine monophosphate (cGMP) in the body. This leads to relaxation of smooth muscles in the blood vessels of the penis, allowing for increased blood flow and thus, facilitating an erection.

Regarding its impact on oxygen delivery to tissues, sildenafil citrate primarily affects blood flow by dilating blood vessels. While it doesn't directly impact oxygen delivery to tissues, the vasodilation caused by sildenafil citrate can potentially affect oxygen delivery indirectly.

In some cases, sildenafil citrate's vasodilatory effects can lead to a decrease in systemic blood pressure. This decrease in blood pressure can potentially affect tissue perfusion, including oxygen delivery to tissues. However, it's important to note that the effects on blood pressure and tissue perfusion are usually minimal and generally well-tolerated in individuals without underlying cardiovascular issues.

Nevertheless, individuals with pre-existing cardiovascular conditions, such as heart disease, hypertension, or those taking medications that affect blood pressure, should use Super Fildena cautiously and under the supervision of a healthcare professional. These individuals may be at higher risk of experiencing adverse effects related to changes in blood pressure and perfusion.

As for dapoxetine, the other active ingredient in Super Fildena, it is a selective serotonin reuptake inhibitor (SSRI) that affects the neurotransmitter serotonin in the brain. It primarily works to delay ejaculation by inhibiting the reuptake of serotonin, which prolongs the time it takes to ejaculate and helps improve control over ejaculation.

In summary, while Super Fildena primarily impacts blood flow and neurotransmitter activity, which may indirectly affect oxygen delivery to tissues, its effects on tissue oxygenation are generally minimal and well-tolerated in most individuals. However, caution should be exercised, especially in individuals with underlying cardiovascular conditions. Always consult a healthcare professional before using Super Fildena or any medication for erectile dysfunction or premature ejaculation.