Fildena Extra Power (Sildenafil Citrate)

Introduction

Fildena Extra Power is a medication containing Sildenafil Citrate, used to treat erectile dysfunction (ED) in adult men. It is available as a oral pill in a 150mg dosage. As a PDE5 inhibitor, it works by increasing blood flow to the penis, aiding in achieving and maintaining an erection during sexual stimulation.

Quick Reference Facts

Active Ingredient

Sildenafil Citrate

Form

pill 150mg

Primary and Off-Label Uses

Erectile Dysfunction

What is Fildena Extra Power?

Fildena Extra Power is the brand name for a medication whose active ingredient is Sildenafil Citrate. This medication is classified as a phosphodiesterase type 5 (PDE5) inhibitor. It is formulated as an oral pill and is specifically indicated for the treatment of erectile dysfunction in adult males. Fildena Extra Power is the generic version of medications containing Sildenafil Citrate, marketed under brand names such as Viagra and others. Generic medications like Fildena Extra Power offer a cost-effective alternative to branded drugs while providing the same therapeutic benefits due to bioequivalence with their brand-name counterparts.

How Sildenafil Citrate Works

Sildenafil Citrate, the active compound in Fildena Extra Power, functions by inhibiting an enzyme called phosphodiesterase type 5 (PDE5). This enzyme is primarily found in the penile tissue and is responsible for breaking down cyclic guanosine monophosphate (cGMP). During sexual arousal, nitric oxide is released in the penis, which leads to the production of cGMP. cGMP causes the smooth muscles in the blood vessels of the penis to relax, allowing for increased blood flow and consequently, an erection. By inhibiting PDE5, Sildenafil Citrate prevents the breakdown of cGMP, thereby prolonging its action. This enhanced cGMP concentration facilitates vasodilation (widening of blood vessels) in the corpus cavernosum, making it easier to achieve and sustain an erection when sexual stimulation is present. The effects of Sildenafil Citrate typically begin to manifest within 30 to 60 minutes after ingestion and can last for approximately 4 to 6 hours.

Conditions Treated with Fildena Extra Power

The primary approved indication for Fildena Extra Power, containing Sildenafil Citrate, is:

• Erectile Dysfunction (ED): Erectile dysfunction is a condition characterized by the inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse. Sildenafil Citrate addresses this by improving blood flow to the penis. By inhibiting PDE5, it allows for greater relaxation of the smooth muscles of the penile arteries and corpora cavernosa, enabling tumescence when adequate sexual stimulation is present. This facilitates the physiological process required for an erection.

Is Fildena Extra Power the Right Medication for You?

Fildena Extra Power, containing Sildenafil Citrate, is suitable for adult men diagnosed with erectile dysfunction who require assistance in achieving or maintaining an erection. It is often recommended for individuals who have not responded adequately to lifestyle modifications or other, less potent treatments. The 150mg dosage provides a higher concentration of the active ingredient, which may be beneficial for individuals who have found lower doses insufficient.

However, Fildena Extra Power is not appropriate for all individuals. It is contraindicated in men with certain pre-existing medical conditions. Specifically, individuals taking nitrate medications for chest pain or heart conditions (such as isosorbide dinitrate or nitroglycerin) must not use Sildenafil Citrate, as this combination can cause a dangerous drop in blood pressure. Additionally, certain cardiovascular conditions, severe liver or kidney impairment, and specific eye conditions like retinitis pigmentosa may necessitate caution or preclude its use. A thorough medical evaluation by a healthcare professional is essential to determine if Fildena Extra Power is a safe and appropriate treatment option.

Buying Fildena Extra Power from Our Online Pharmacy

Why Choose Our Service?

Our online pharmacy service provides a discreet, convenient, and accessible way for patients to obtain Fildena Extra Power. We understand the importance of both privacy and timely access to necessary medications. By offering this service, we aim to remove common barriers such as geographical limitations, the need for in-person consultations for established prescriptions, and the potential for judgmental interactions, making it easier for you to manage your health needs from the comfort of your home.

Quality & Safety Assurance

We facilitate access to medications through verified international partners who operate under recognized regulatory frameworks. Fildena Extra Power, containing Sildenafil Citrate, sourced through our service is guaranteed to be authentic and manufactured to high-quality standards, ensuring its efficacy and safety profile mirrors that of the medication you would expect from a reputable source.

Pricing & Access

Fildena Extra Power is the generic equivalent of well-known ED medications. By choosing our pharmacy service, you benefit from significant cost savings compared to branded alternatives. We strive to provide access to medications that may have limited availability or high costs through traditional distribution channels, making effective treatment more affordable and accessible to a wider patient population.

Discreet Delivery

We prioritize your privacy with discreet packaging for all orders. Your medication will be delivered securely and without any outward indication of its contents. Our express delivery option typically ensures your order arrives within 7 days, while standard airmail usually takes approximately 3 weeks, providing reliable access to Fildena Extra Power when you need it.

Use: Dosing, Missed Dose, Overdose

• Dosing: Fildena Extra Power is presented as a 150mg pill. The recommended starting dose for Sildenafil Citrate for erectile dysfunction is typically 50mg, with the dosage adjusted based on efficacy and tolerability up to a maximum of 100mg per day. However, the 150mg presentation of Fildena Extra Power contains a higher concentration of the active ingredient. It is crucial to follow the dosage instructions provided by your healthcare professional, as this higher dose may not be suitable for all individuals and carries a greater risk of side effects. Taking more than one pill or exceeding the prescribed daily limit can increase the risk of adverse effects.
• Missed Dose: Fildena Extra Power is taken on an as-needed basis for erectile dysfunction. It is not a daily medication, so the concept of a "missed dose" in the traditional sense does not apply. The medication should be taken approximately 30 minutes to 1 hour before anticipated sexual activity. If sexual activity does not occur after taking the medication, no corrective action is needed; the drug's residual effects will dissipate over its duration of action.
• Overdose: If more than the prescribed dose of Fildena Extra Power is taken, individuals may experience an increased incidence and severity of side effects. Symptoms of overdose can include prolonged and painful erections (priapism), severe headaches, dizziness, visual disturbances, nasal congestion, and changes in heart rate or blood pressure. In the event of a suspected overdose, seek immediate medical attention. Prompt medical evaluation is necessary to manage adverse effects and prevent potential long-term complications.
• Practical Precautions:
  • Administration: Fildena Extra Power can be taken with or without food. However, consuming a high-fat meal before taking the medication may delay its onset of action.
  • Alcohol: Consumption of alcohol while taking Sildenafil Citrate can increase the risk of dizziness and potentially lower blood pressure, which may impair your ability to achieve an erection. It is advisable to limit alcohol intake.
  • Operating Machinery: Dizziness and visual disturbances can occur with Sildenafil Citrate. Therefore, caution should be exercised when driving or operating heavy machinery until you know how the medication affects you.

Safety Information

⚠️ Who Should Not Take Fildena Extra Power

Fildena Extra Power is contraindicated in several patient groups to prevent serious adverse events:

• Nitrate Users: Individuals currently taking any form of nitrate medication (e.g., nitroglycerin, isosorbide dinitrate or mononitrate) for chest pain or cardiovascular conditions must not use Sildenafil Citrate. The combination can lead to a severe and potentially life-threatening drop in blood pressure.
• Alpha-Blocker Users: Caution is advised for individuals taking alpha-blockers (used for high blood pressure or prostate enlargement) due to a risk of symptomatic hypotension.
• Allergic Reactions: Patients with a known hypersensitivity to Sildenafil Citrate or any of the inactive ingredients in Fildena Extra Power should avoid this medication.
• Certain Cardiovascular Conditions: Individuals with a history of recent heart attack, stroke, or severe heart failure that makes them unstable for sexual activity should not take Sildenafil Citrate.
• Severe Liver or Kidney Impairment: While not an absolute contraindication, dose adjustments and careful monitoring are needed in patients with severe hepatic or renal dysfunction.
• Hypotension: Individuals with resting hypotension (blood pressure below 90/50 mmHg) or uncontrolled hypertension should consult their doctor.
• Priapism History: Those with a history of priapism (a painful erection lasting more than 4 hours) should use Sildenafil Citrate with caution.

Common Side Effects

The most frequently reported side effects of Sildenafil Citrate are generally mild to moderate and transient. These can include:

• Headache
• Flushing (redness and warmth of the face)
• Dyspepsia (indigestion)
• Nasal congestion
• Visual disturbances (e.g., blurred vision, colour tinge to vision, increased sensitivity to light)
• Dizziness

These effects tend to occur at a higher frequency with increasing dose. Many resolve on their own as the body adjusts to the medication.

Serious Side Effects (Seek Immediate Medical Help)

While uncommon, serious side effects associated with Sildenafil Citrate require immediate medical attention:

• Priapism: An erection that lasts for 4 hours or longer and is painful. This is a medical emergency that can lead to permanent erectile tissue damage if not treated promptly.
• Sudden Vision Loss: Including non-arteritic anterior ischemic optic neuropathy (NAION), which can cause sudden decrease or loss of vision in one or both eyes.
• Sudden Hearing Decrease or Loss: This can sometimes be accompanied by ringing in the ears (tinnitus) or dizziness.
• Severe Allergic Reactions: Symptoms may include rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, and trouble breathing.
• Chest Pain or Heart Attack Symptoms: Radiating pain, shortness of breath, nausea, sweating.
• Stroke Symptoms: Sudden severe headache, numbness or weakness on one side of the body, slurred speech, vision problems.

Drug & Food Interactions

• Nitrates: As mentioned, co-administration with any nitrate medication is absolutely contraindicated due to the risk of severe hypotension.
• Alpha-Blockers: Use with caution. Combination may lead to symptomatic hypotension. A dose adjustment of either medication may be necessary.
• CYP3A4 Inhibitors: Medications that strongly inhibit CYP3A4 (e.g., ketoconazole, itraconazole, ritonavir, erythromycin) can increase Sildenafil Citrate plasma levels, potentially increasing the risk of side effects. Lower doses of Sildenafil Citrate may be recommended.
• Antihypertensives: Sildenafil Citrate can have additive blood pressure-lowering effects when combined with antihypertensive medications.
• Grapefruit Juice: While a single instance of consumption may have minimal effect, regular or large consumption of grapefruit juice may increase Sildenafil Citrate levels. Discuss with your healthcare provider or pharmacist.
• Alcohol: Excessive alcohol consumption may impair erectile function and increase the risk of dizziness and hypotension when combined with Sildenafil Citrate.

Off-Label and Investigational Uses of Fildena Extra Power

While Fildena Extra Power's primary approved use is for erectile dysfunction, Sildenafil Citrate has been investigated and, in some cases, utilized off-label for other conditions. Clinical studies and anecdotal evidence suggest potential utility in:

• Pulmonary Arterial Hypertension (PAH): While a different drug (Revatio, also containing Sildenafil Citrate but at different dosages and frequencies) is specifically approved for PAH, Sildenafil Citrate mechanisms are relevant. It works by relaxing the smooth muscles in the walls of the pulmonary blood vessels, reducing blood pressure in the lungs. However, its use for PAH requires specific medical guidance and is typically managed with an FDA-approved formulation designed for this purpose, not oral ED pills.
• Raynaud's Phenomenon: Some research indicates that Sildenafil Citrate may help improve blood flow in individuals suffering from severe Raynaud's phenomenon, a condition where blood vessels in the fingers and toes constrict in response to cold or stress.
• Altitude Sickness: There is some investigation into Sildenafil Citrate's potential role in treating or preventing high-altitude pulmonary edema (HAPE) due to its vasodilatory effects.

It must be stressed that these off-label uses have not undergone the same rigorous regulatory review for safety and efficacy as the approved indication for ED. Any use of Sildenafil Citrate for conditions other than erectile dysfunction should only be considered and managed under the direct supervision of a qualified healthcare professional.

Storage & Handling

To maintain the efficacy and safety of Fildena Extra Power, proper storage is essential:

• Temperature: Store the pills at room temperature, typically between 15°C to 30°C (59°F to 86°F). Avoid extreme temperatures.
• Light and Humidity: Keep the medication in its original packaging to protect it from light and moisture. Do not store it in the bathroom or kitchen where humidity levels can fluctuate.
• Expiry Date: Always check the expiry date on the packaging. Do not use medication that has passed its expiry date, as its potency may have diminished, or it could be unsafe.
• Disposal: Unused or expired medication should be disposed of safely. Do not flush pills down the toilet or dispose of them in household waste. Contact your local pharmacy or waste management service for guidance on proper medication disposal methods to protect the environment. Keep all medications out of reach of children and pets.

Frequently Asked Questions

About Using Fildena Extra Power

• Can I take Fildena Extra Power with exercise? Generally, moderate exercise does not directly contraindicate the use of Fildena Extra Power. However, if you experience cardiovascular symptoms such as chest pain or shortness of breath during physical activity, consult your doctor before engaging in sexual activity.

• How should I adjust my Fildena Extra Power dosage if I have liver or kidney problems? Individuals with moderate to severe liver or kidney impairment often require dose adjustments and careful monitoring due to altered drug metabolism and excretion. Always discuss your specific condition with your healthcare provider to determine the appropriate Sildenafil Citrate dosage.

• Is it safe to take Fildena Extra Power while traveling across time zones? Since Fildena Extra Power is taken as needed, time zone differences generally do not impact its usage. Focus on taking it about 30-60 minutes before sexual activity, regardless of the local time.

Product Information

• What are the inactive ingredients in Fildena Extra Power pills? Specific inactive ingredients can vary by manufacturer, but common ones for Sildenafil Citrate pills include microcrystalline cellulose, calcium hydrogen phosphate, croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide, and indigo carmine aluminium lake.

• Can I cut Fildena Extra Power pills in half to take a lower dose? It is generally not recommended to split or crush Fildena Extra Power pills unless specifically instructed by your doctor or pharmacist. Doing so may affect the way the medication is absorbed and its overall effectiveness.

Safety & Regulations

• Will Fildena Extra Power show up on a drug test? Fildena Extra Power contains Sildenafil Citrate, which is a prescription medication for erectile dysfunction. It is not typically screened for on standard employment drug tests unless a specific concern or medical condition requires its identification.

• Are there any specific warnings for older adults taking Fildena Extra Power? Older adults may be more sensitive to the side effects of Sildenafil Citrate, particularly hypotension, dizziness, and visual changes. It is crucial for elderly individuals to start with the lowest effective dose and be closely monitored by their doctor.

• What is the pregnancy category for Fildena Extra Power? Fildena Extra Power is indicated for use in adult men. While not assigned a formal pregnancy category like Category A, B, C, D, or X, it is not intended for use by pregnant or breastfeeding women.

Glossary

Erectile Dysfunction (ED)

A consistent inability to achieve or maintain an erection suitable for sexual intercourse.

Phosphodiesterase Type 5 (PDE5) Inhibitor

A class of drugs that block the action of the PDE5 enzyme, primarily used to treat erectile dysfunction by improving blood flow.

Vasodilation

The widening of blood vessels, which increases blood flow and can lower blood pressure.

Bioequivalence

When a generic drug is shown to have the same rate and extent of absorption as the brand-name drug, meaning it will have the same therapeutic effect.

Priapism

A prolonged, painful erection of the penis, typically lasting more than 4 hours, which can occur as a side effect of certain medications.

Disclaimer

The information provided regarding Fildena Extra Power is intended for general educational purposes only and does not substitute for professional medical advice. All decisions concerning treatment options, including the use of Sildenafil Citrate for any condition, must be made in consultation with a qualified healthcare provider who can assess individual health status and needs. Our online pharmacy service is designed to offer convenient access to medications such as Fildena Extra Power for individuals who have established treatment plans and require a reliable source for obtaining their medication. It is imperative that all patients consult with their doctor before commencing, altering, or discontinuing any medication regimen.