Fildena (Sildenafil Citrate)

Introduction

Fildena is a generic medication containing Sildenafil Citrate that is used to treat erectile dysfunction in adult men. As a phosphodiesterase type 5 (PDE5) inhibitor, it functions by increasing blood flow to the penis, enabling an erection when sexual stimulation occurs. Fildena is available in pill form, commonly in 100mg dosages, offering a more affordable alternative to branded Sildenafil Citrate medications. Its primary indication is for the treatment of erectile dysfunction; however, it is sometimes discussed for secondary applications under medical guidance.

Quick Reference Facts

Active Ingredient

Sildenafil Citrate

Form

pill 100mg

Primary and Off-Label Uses

Erectile Dysfunction

What is Fildena?

Fildena is the generic version of medications containing the active compound Sildenafil Citrate. It is classified as a phosphodiesterase type 5 (PDE5) inhibitor. Generic medications like Fildena are manufactured after the patent protection for the original brand-name drug expires. They are designed to be bioequivalent to their brand-name counterparts, meaning they contain the same active ingredient, strength, dosage form, route of administration, and quality, and are intended to have the same clinical effect. Fildena offers a cost-effective option for individuals seeking treatment for erectile dysfunction, making it more accessible to a wider population. Pharmaceutical companies produce generic versions of Sildenafil Citrate that are marketed under various brand names globally.

How Fildena Works

Fildena, containing Sildenafil Citrate, works by inhibiting the enzyme phosphodiesterase type 5 (PDE5). PDE5 is found primarily in the smooth muscle of the corpus cavernosum in the penis and also in the pulmonary vasculature. In the penis, PDE5 is responsible for the breakdown of cyclic guanosine monophosphate (cGMP). During sexual stimulation, nitric oxide (NO) is released, which leads to an increase in cGMP levels. Elevated cGMP causes the smooth muscles in the blood vessels of the penis to relax, increasing blood flow and resulting in an erection. By inhibiting PDE5, Fildena prevents the breakdown of cGMP, thereby prolonging its action. This sustained increase in cGMP leads to improved and more sustained blood flow to the penis, facilitating the achievement and maintenance of an erection in response to sexual arousal. The effects typically begin to manifest between 30 to 60 minutes after ingestion and can last for approximately 4 to 6 hours, although this can vary depending on individual metabolism and other factors.

Conditions Treated with Fildena

• Erectile Dysfunction (ED): Fildena is primarily approved for the treatment of erectile dysfunction, a condition characterized by the consistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. By increasing blood flow to the penis, Sildenafil Citrate in Fildena helps men with ED achieve an erection when sexually stimulated, thereby improving their sexual function and quality of life.

Is Fildena the Right Medication for You?

Fildena is indicated for adult men diagnosed with erectile dysfunction (ED). It is particularly suitable for individuals seeking an effective and affordable treatment option. For those for whom branded Sildenafil Citrate medications have been prescribed, Fildena presents a cost-saving generic alternative that offers the same therapeutic benefits. However, its use is contraindicated in individuals with certain medical conditions. These include severe heart or liver problems, recent stroke or heart attack, low blood pressure, or specific inherited eye diseases such as retinitis pigmentosa. Patients taking nitrate medications (often prescribed for chest pain) must also avoid Fildena, as the combination can lead to a dangerous drop in blood pressure. It is crucial for any man considering Fildena to have a thorough medical evaluation to determine if it is appropriate for their individual health profile and to discuss potential risks and benefits with a healthcare professional.

Buying Fildena from Our Online Pharmacy

Why Choose Our Service?

Our online pharmacy provides a discreet and convenient way to access Fildena, offering a solution for individuals seeking a reliable source for their medication needs. We understand that obtaining certain treatments can sometimes be challenging, and we aim to simplify this process. Our platform is designed to offer ease of access, quality assurance, and competitive pricing, ensuring that individuals can manage their health effectively and privately.

Quality & Safety Assurance

We facilitate access to medications through verified international partners operating under recognized regulatory frameworks. This ensures that the Fildena you receive is authentic, of high quality, and meets stringent safety standards. Our commitment to quality means you can trust the integrity of the medication procured through our service.

Pricing & Access

We strive to offer Fildena at competitive prices, making this important treatment more affordable than many high-street alternatives. By providing direct access to medications often available at lower costs internationally, we help reduce the financial burden associated with managing erectile dysfunction. For those seeking generic options, Fildena represents a significant cost saving compared to its branded equivalents.

Discreet Delivery

Understanding the importance of privacy, our service ensures that all orders are packaged discreetly. Your medication will arrive in plain packaging without any external indication of its contents. We offer express delivery services, with orders typically arriving within 7 days, and standard airmail options are also available, usually taking approximately 3 weeks. This discreet approach ensures your privacy is maintained throughout the delivery process.

Use: Dosing, Missed Dose, Overdose

Dosing

The standard dosage for Fildena is typically 100mg, taken orally as needed approximately one hour before sexual activity. It is important to note that sexual stimulation is required for an erection to occur when taking Fildena. Do not take more than one 100mg dose in a 24-hour period. The medication's effectiveness can be influenced by food intake; taking it with a heavy, high-fat meal may delay its absorption and onset.

Missed Dose

Fildena is taken on an as-needed basis for erectile dysfunction and is not a daily medication. Therefore, the concept of a "missed dose" does not apply in the same way as it would for medications taken regularly. If you forget to take Fildena before sexual activity, simply take it when you remember and anticipate sexual activity. However, ensure you adhere to the recommended maximum of one dose within a 24-hour period.

Overdose

If you suspect an overdose, seek immediate medical attention. Symptoms of an overdose may include prolonged and painful erections (priapism), severe headache, dizziness, visual disturbances, blurred vision, fainting, or chest pain. It is essential to contact emergency services or poison control centers promptly. Always be prepared to provide details about the amount of medication taken and any symptoms experienced.

Practical Precautions

• Alcohol Consumption: Excessive alcohol intake can reduce the effectiveness of Fildena and may increase the likelihood of adverse events such as dizziness or a drop in blood pressure. It is advisable to limit alcohol consumption when taking this medication.
• Operating Machinery: Dizziness and visual disturbances can occur after taking Fildena. Therefore, exercise caution when driving, operating machinery, or performing other activities that require alertness and clear vision until you know how Fildena affects you.
• Administration with Food: Taking Fildena with a high-fat meal may delay its onset of action. For optimal results, it is often recommended to take it on an empty stomach or after a light meal.

Safety Information

⚠️ Who Should Not Take Fildena

Fildena is contraindicated in several patient groups:

• Individuals taking nitrate medications: This includes drugs like nitroglycerin, isosorbide mononitrate, and isosorbide dinitrate, commonly prescribed for angina (chest pain). Concomitant use can cause a severe and potentially life-threatening drop in blood pressure.
• Patients with known hypersensitivity to Sildenafil Citrate or any inactive ingredients in Fildena.
• Individuals with certain severe cardiovascular conditions: Such as unstable angina, recent myocardial infarction (heart attack), stroke, congestive heart failure, or uncontrolled hypertension (high blood pressure).
• Patients with severe liver impairment or severe kidney impairment requiring dialysis.
• Individuals with specific eye conditions: Including those diagnosed with hereditary degenerative retinal disorders like retinitis pigmentosa.

Common Side Effects

Common side effects of Fildena are generally mild to moderate and often temporary. They include:

• Headache
• Flushing (redness and warmth of the face, neck, or chest)
• Dyspepsia (indigestion)
• Nasal congestion
• Visual disturbances (e.g., blurred vision, changes in colour perception, increased sensitivity to light)
• Dizziness
• Rashes

These symptoms typically resolve on their own within a few hours. Maintaining hydration can sometimes help alleviate headaches.

Serious Side Effects (Seek Immediate Medical Help)

Although rare, serious side effects can occur. Seek immediate medical attention if you experience any of the following:

• Priapism: An erection that lasts for more than 4 hours. This is a medical emergency and requires immediate treatment to prevent permanent damage to the penis.
• Sudden vision loss: In one or both eyes (non-arteritic anterior ischemic optic neuropathy).
• Sudden hearing decrease or hearing loss: This may be accompanied by ringing in the ears (tinnitus) or dizziness.
• Severe allergic reactions: Such as shortness of breath, swelling of the face, lips, tongue, or throat, and severe rash.
• Chest pain or new or worsening angina.
• Irregular heartbeat.
• Symptoms of a stroke: Such as sudden numbness or weakness (especially on one side of the body), sudden severe headache, dizziness, confusion, or trouble speaking or understanding.

Drug & Food Interactions

• Nitrate medications: As mentioned, this is a critical contraindication.
• Alpha-blockers: Used for prostate problems or high blood pressure (e.g., prazosin, terazosin, tamsulosin). Taking Fildena with alpha-blockers may lead to symptomatic hypotension (a drop in blood pressure), especially when standing.
• Antihypertensives: Fildena can add to the blood pressure-lowering effects of medications used to treat high blood pressure.
• HIV protease inhibitors: Such as ritonavir, saquinavir, or indinavir. These can significantly increase Sildenafil Citrate levels, requiring dose adjustments.
• Certain antifungal medications: Such as ketoconazole and itraconazole, may also increase Sildenafil Citrate levels.
• Grapefruit juice: While not a prescription drug interaction, large quantities of grapefruit juice can potentially affect the metabolism of Sildenafil Citrate, modifying its drug levels. It is advisable to discuss significant grapefruit consumption with your healthcare provider.

Off-Label and Investigational Uses of Fildena

While Fildena's primary and approved indication is for erectile dysfunction, Sildenafil Citrate, the active ingredient, has been investigated and is used off-label in certain clinical contexts.

• Pulmonary Arterial Hypertension (PAH): Sildenafil Citrate is approved under different brand names (e.g., Revatio) for treating pulmonary arterial hypertension, a condition where blood pressure in the arteries of the lungs is dangerously high. It works by relaxing the blood vessels in the lungs, improving blood flow. While Fildena contains the same active ingredient, its use for PAH is considered off-label and requires specific dosing and medical supervision distinct from ED treatment.
• Raynaud's Phenomenon: For individuals suffering from Raynaud's phenomenon, a condition causing reduced blood flow to the extremities (fingers and toes), Sildenafil Citrate has been explored to improve circulation. Clinical studies suggest it may help reduce the frequency and severity of associated vasospasms.
• High-Altitude Pulmonary Edema (HAPE): Some research indicates that Sildenafil Citrate might be useful in preventing or treating high-altitude pulmonary edema in individuals ascending to very high altitudes. Its vasodilatory effects are thought to counteract the pulmonary vasoconstriction that can occur at lower oxygen levels.

It is crucial to understand that these off-label uses have not undergone the same rigorous regulatory review for these specific conditions as the approved use for erectile dysfunction. Patients considering Fildena for any purpose other than its approved indication for ED should do so only under the careful guidance and supervision of a qualified healthcare professional.

Storage & Handling

Fildena pills should be stored at room temperature, typically between 20°C to 25°C (68°F to 77°F). They should be kept away from excessive heat, light, and moisture. Do not store the medication in the bathroom, as the humidity and temperature fluctuations can degrade the drug over time. Keep Fildena in its original container, tightly closed, and out of reach and sight of children and pets. Always check the expiry date on the packaging before use. Expired medication should be disposed of safely. Most pharmacies offer drug take-back programs, or medication can be disposed of by mixing it with an unappealing substance like dirt, cat litter, or coffee grounds, sealing it in a plastic bag, and then discarding it in the household trash. Do not flush unused medication down the toilet or pour them into a drain.

Frequently Asked Questions

About Using Fildena

• Can Fildena be taken with recreational drugs like poppers (amyl nitrite)? Absolutely not. Combining Fildena with amyl nitrite or other recreational "poppers" (aliphatic nitrates) is extremely dangerous and can lead to severe, potentially fatal, hypotension (a drastic drop in blood pressure).

• How does Fildena interact with alcohol? Consuming alcohol while taking Fildena can increase the risk of side effects like dizziness, headache, and flushing. It may also reduce the medication's effectiveness in achieving an erection. It is best to limit alcohol intake significantly.

• Can Fildena be taken daily for persistent erectile dysfunction? Fildena is designed for on-demand use before sexual activity and is typically limited to one 100mg dose per 24-hour period. It is not formulated or approved for daily regimen use to manage persistent erectile dysfunction.

Product Information

• What are the inactive ingredients found in Fildena pills? Inactive ingredients in Fildena can vary but commonly include microcrystalline cellulose, calcium hydrogen phosphate, sodium starch glycolate, povidone, and magnesium stearate, along with film-coating agents such as hypromellose, titanium dioxide, and colouring agents.

• What is the typical appearance of a 100mg Fildena pill? Fildena 100mg pills are generally film-coated and often have a specific shape and colour, which can vary between manufacturers. For precise details, refer to the packaging or product information leaflet included with your specific batch.

• Can I split a Fildena 100mg tablet in half to take a 50mg dose? While some tablets are scored for splitting, it is not recommended unless specifically advised by a healthcare professional or indicated on the packaging. Splitting may lead to inconsistent dosing if the tablet is not evenly divided.

Safety & Regulations

• Does Fildena have any impact on prostate cancer screening? Fildena itself does not directly affect prostate cancer screening tests like PSA (Prostate-Specific Antigen). However, it is advisable to inform your doctor about all medications you are taking, including Fildena, as they may factor this into their overall assessment.

• Is Fildena safe for individuals with diabetes who experience erectile dysfunction? Fildena is often prescribed for diabetic men with ED as diabetes can be a contributing factor. However, careful medical evaluation is essential to manage potential complications and ensure Fildena is appropriate for their specific health status.

• Are there any specific considerations for elderly men taking Fildena? Elderly individuals may be more sensitive to the effects of Fildena and may have an increased risk of side effects. Lower starting doses might be considered by a physician in some cases, and they should be monitored closely for adverse reactions.

Glossary

Phosphodiesterase type 5 (PDE5) inhibitor

A class of drugs that work by blocking the action of the PDE5 enzyme, which is involved in regulating blood flow, particularly to the erectile tissues of the penis.

Cyclic guanosine monophosphate (cGMP)

A signalling molecule that plays a crucial role in relaxing smooth muscles and increasing blood flow, essential for achieving an erection.

Vasodilation

The widening of blood vessels, which increases blood flow. This is a key mechanism by which Fildena helps to achieve an erection.

Erectile Dysfunction (ED)

A condition characterized by the consistent inability of a man to achieve or maintain an erection sufficient for sexual intercourse.

Bioequivalence

Refers to generic drugs having the same active ingredient, strength, dosage form, and route of administration as their brand-name counterparts, demonstrating comparable bioavailability and therapeutic action.

Disclaimer

The information provided about Fildena is intended for general understanding and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. All decisions regarding treatment, including decisions about the use of Fildena for approved or off-label indications, must be made under the direct supervision of a qualified healthcare provider. We operate on the premise that all individuals accessing our service are responsible adults capable of making informed health choices and seeking appropriate medical guidance. Our online pharmacy service aims to provide greater accessibility to medications like Fildena, particularly for those who may face challenges in obtaining them through traditional channels or are seeking more affordable generic options. Always consult with your doctor or other qualified health professional before consulting with our service or starting, altering, or discontinuing any medication.