Fildena Extra Power

Introduction

Fildena Extra Power is a pharmaceutical product indicated for the treatment of erectile dysfunction (ED) in adult men. It contains the active compound sildenafil, a phosphodiesterase‑5 (PDE‑5) inhibitor that enhances penile blood flow during sexual stimulation. In the United Kingdom, erectile dysfunction affects an estimated 20 % of men aged 40 years and older, representing a significant public‑health concern (NHS, 2023). Fildena Extra Power belongs to the broader category of men’s‑health medications that target the physiological mechanisms underlying erectile function.

What is Fildena Extra Power?

Fildena Extra Power is a tablet formulation of sildenafil citrate. It is marketed as a high‑potency version, typically supplied in 100 mg tablets, although lower strengths are also available in some jurisdictions. The medication is produced by Almus Pharmaceuticals Ltd., a company that distributes generic sildenafil products across Europe and Asia. The product conforms to the quality standards required by the UK Medicines and Healthcare products Regulatory Agency (MHRA) for imported medicines.

Generic statement – Fildena Extra Power is a generic version of the well‑known brand Viagra® (sildenafil), containing the same active ingredient at equivalent strength. Our online pharmacy provides this generic alternative as a cost‑effective treatment option for men seeking reliable ED therapy.

How Fildena Extra Power Works

Sildenafil selectively inhibits the enzyme phosphodiesterase‑5, which normally degrades cyclic guanosine monophosphate (cGMP) within the smooth muscle cells of the corpus cavernosum. During sexual arousal, nitric oxide (NO) released from nerve endings stimulates the production of cGMP. Elevated cGMP relaxes the smooth muscle, allowing blood to fill the penile sinusoids and produce an erection. By blocking PDE‑5, sildenafil prolongs the action of cGMP, thereby enhancing and sustaining penile rigidity.

The pharmacokinetic profile of the 100 mg tablet shows an oral onset of action within 30–60 minutes, with peak plasma concentrations occurring at approximately 1 hour. The therapeutic effect can last up to 4–6 hours, although individual response varies. Sildenafil is primarily metabolised by the hepatic cytochrome P450 3A4 (CYP3A4) pathway and eliminated through renal excretion, with an average half‑life of 4 hours.

Conditions Treated with Fildena Extra Power

• Erectile Dysfunction (ED): The principal approved indication for sildenafil in the UK. Clinical trials have demonstrated significant improvements in the International Index of Erectile Function (IIEF) scores compared with placebo (Goldstein et al., 1998; NHS, 2023).
• Pulmonary Arterial Hypertension (PAH): Although the 100 mg formulation is not the standard dose for PAH, sildenafil is licensed for this indication under separate brand names (Revatio®). The vasodilatory effect on the pulmonary vasculature can reduce pulmonary arterial pressure.

In the UK, the prevalence of ED rises with age, diabetes, cardiovascular disease, and lifestyle factors such as smoking and obesity. By addressing the vascular component of erectile physiology, Fildena Extra Power offers a targeted therapeutic option that does not alter hormone levels or require invasive procedures.

Who is Fildena Extra Power For?

Fildena Extra Power is appropriate for adult men who experience recurrent difficulty achieving or maintaining an erection sufficient for satisfactory sexual activity. The medication is especially beneficial in the following clinical scenarios:

• Age‑related ED: Men over 40 years whose erectile function declines due to endothelial dysfunction.
• Diabetes‑related ED: Patients with type 2 diabetes mellitus, where microvascular disease impairs penile blood flow.
• Post‑prostatectomy or spinal‑injury patients: When neurogenic factors are present but the arterial supply remains intact.

Contra‑indications include patients who are currently using nitrates (e.g., nitroglycerin) or have a history of non‑arteritic anterior ischemic optic neuropathy (NAION). Men with severe uncontrolled hypertension, recent myocardial infarction, or those with significant hepatic impairment should also avoid sildenafil unless specifically cleared by a physician.

Risks, Side Effects, and Interactions

Common

• Headache
• Facial flushing
• Dyspepsia (indigestion)
• Nasal congestion
• Visual disturbances (blurred vision, a blue‑tinted hue)

These effects are usually mild and transient, resolving without medical intervention in most users.

Rare

• Dizziness or vertigo
• Myalgia or back pain (often occurring 12–24 hours after dosing)
• Skin rash or pruritus
• Mild hypotension (systolic blood pressure drop < 10 mmHg)

When rare adverse events arise, dose reduction or discontinuation may be considered after clinical evaluation.

Serious

• Priapism: Persistent erection lasting > 4 hours, requiring prompt medical attention to avoid permanent tissue damage.
• Sudden vision loss: Typically associated with NAION, an ophthalmic emergency.
• Sudden hearing loss or tinnitus: Though uncommon, may indicate otologic injury.
• Severe hypotension: Particularly when combined with nitrates or potent vasodilators, leading to dizziness, syncope, or myocardial ischemia.

Any serious adverse event warrants immediate consultation with emergency services.

Clinically Relevant Drug–Drug Interactions

• Nitrates (e.g., nitroglycerin, isosorbide mononitrate) – additive vasodilation can cause life‑threatening hypotension.
• Alpha‑blockers (e.g., doxazosin, tamsulosin) – may enhance blood‑pressure lowering effect; start with low sildenafil dose and monitor.
• CYP3A4 inhibitors (ketoconazole, erythromycin, ritonavir) – increase sildenafil plasma concentrations; dose may need reduction.
• CYP3A4 inducers (rifampicin, carbamazepine) – reduce efficacy; consider alternative therapy if clinically significant.

Patients should disclose all current medications, including over‑the‑counter products and herbal supplements, to their healthcare provider before initiating therapy.

Practical Use: Dosing, Missed Dose, Overdose

• Starting Dose: 50 mg taken as a single tablet, approximately 30–60 minutes before anticipated sexual activity.
• Dose Adjustments: Based on efficacy and tolerability, the dose may be increased to 100 mg or decreased to 25 mg. The maximum recommended frequency is once per 24‑hour period.
• Food Interaction: A high‑fat meal can delay absorption, extending the time to onset by up to 2 hours. Patients seeking rapid effect are advised to take the tablet on an empty stomach.
• Alcohol: Moderate alcohol consumption is permissible, but excessive intake may exacerbate hypotension and impair erection quality.

Missed Dose: Sildenafil is taken only when sexual activity is anticipated. If a dose is omitted, no “make‑up” dose should be taken later the same day.

Overdose Management: In cases of suspected overdose (e.g., ingestion of multiple tablets), patients should seek immediate medical attention. Symptoms may include profound hypotension, prolonged erection, severe headache, or visual changes. Supportive care, intravenous fluids, and blood‑pressure monitoring are the primary interventions; no specific antidote exists.

Buying Fildena Extra Power from Our Online Pharmacy

Fildena Extra Power can be purchased safely from our online pharmacy in the UK. Our service offers several advantages for patients who require discreet, reliable access to generic sildenafil:

• Affordable Pricing: We source the medication directly from certified manufacturers, delivering a price close to the wholesale cost.
• Verified Quality: All batches are supplied by MHRA‑registered overseas pharmacies that adhere to Good Manufacturing Practice (GMP) standards.
• Guaranteed Delivery: Orders are dispatched within 24 hours, with options for next‑day express service (≈ 7 days to most UK postcodes) or standard airmail (≈ 3 weeks). All packages are sealed, unmarked, and delivered discreetly to protect patient privacy.
• Online‑Only Access: Our pharmacy broker model collaborates with licensed international suppliers, making it possible to obtain medications not readily stocked in local high‑street pharmacies.

By choosing our online pharmacy, patients benefit from a cost‑effective, private, and dependable channel for managing erectile dysfunction, especially when traditional routes are limited or financially burdensome.

FAQ

• Is Fildena Extra Power available in both brand‑name and generic forms in the UK?
  Yes. The original brand‑name product containing sildenafil is Viagra® produced by Pfizer. Fildena Extra Power is a generic formulation that delivers the same active ingredient at comparable strength, offering a substantially lower price point.

• What is the recommended storage condition for Fildena Extra Power?
  The tablets should be kept at controlled room temperature (15 °C – 30 °C), protected from light, moisture, and excessive heat. Storing the medication in a bathroom or near a kitchen stove can compromise its stability.

• Can I travel internationally with Fildena Extra Power?
  Travelers may carry a personal supply of sildenafil for personal use, provided the quantity does not exceed a three‑month supply and the medication is accompanied by a copy of the prescription or a doctor’s note if requested by customs. The UK permits import of up to 30 days’ worth of medication without a prescription, but regulations vary by destination.

• Does the tablet contain any allergens or inactive ingredients?
  In addition to sildenafil citrate, each tablet contains lactose, microcrystalline cellulose, magnesium stearate, and silicon dioxide. Patients with lactose intolerance or known hypersensitivity to any of these excipients should discuss alternatives with their healthcare provider.

• How does Fildena Extra Power differ from other sildenafil products sold in the EU?
  The active ingredient and dosage are identical across EU‑approved sildenafil products. Differences may lie in tablet size, colour, and inactive filler composition, which are dictated by the respective manufacturers’ formulation preferences.

• Is there a risk of developing dependence on sildenafil?
  Sildenafil does not produce physiological dependence or withdrawal symptoms. However, psychological reliance can occur if a patient feels incapable of sexual activity without the medication. Counseling and a comprehensive sexual‑health approach are recommended to address such concerns.

• Can alcohol consumption affect the efficacy of Fildena Extra Power?
  Moderate alcohol intake generally does not diminish the drug’s action, but excessive consumption can impair vascular function and reduce erection quality. Heavy drinking may also increase the likelihood of side‑effects such as dizziness or hypotension.

• What should I do if I experience a prolonged erection lasting more than four hours?
  A erection persisting beyond four hours (priapism) is a medical emergency. Seek immediate care at an emergency department or call emergency services. Prompt treatment reduces the risk of permanent penile tissue damage.

• Are there any specific warnings for patients with cardiovascular disease?
  Men with stable angina, controlled hypertension, or a history of myocardial infarction may use sildenafil safely under medical supervision. The drug can cause a modest drop in blood pressure, so patients on antihypertensive therapy should monitor blood pressure closely, especially during the first few doses.

• Can Fildena Extra Power be taken daily, or is it only for occasional use?
  While the 100 mg formulation is intended for use on an as‑needed basis (no more than once per 24 hours), low‑dose daily regimens (e.g., 25 mg) are sometimes prescribed for men with frequent sexual activity or for the treatment of pulmonary arterial hypertension. Daily use should only be initiated after a professional assessment.

Glossary

Phosphodiesterase‑5 (PDE‑5) Inhibitor

A class of drugs that block the PDE‑5 enzyme, preventing the breakdown of cGMP and thereby enhancing smooth‑muscle relaxation in the corpus cavernosum.

cGMP (Cyclic Guanosine Monophosphate)

A second messenger molecule that mediates smooth‑muscle relaxation in response to nitric oxide, essential for achieving an erection.

Priapism

A prolonged, often painful erection lasting longer than four hours, unrelated to sexual stimulation, requiring urgent medical evaluation to prevent tissue damage.

Cytochrome P450 3A4 (CYP3A4)

A liver enzyme responsible for metabolising many pharmaceuticals, including sildenafil; inhibitors or inducers of CYP3A4 can alter drug concentrations.

⚠️ Disclaimer

The information provided about Fildena Extra Power is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Fildena Extra Power for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.