Description
What is Fildena 120 Mg?
Fildena 120 Mg is the oral tablet form of Sildenafil Citrate. Sildenafil is a PDE5 inhibitor drug, which works by blocking the enzyme phosphodiesterase type 5 that helps control the tone of blood vessels. Sildenafil is used in clinical practice mainly for erectile dysfunction and also for pulmonary arterial hypertension in different strengths and dosing schedules . This medicine is not a hormone, aphrodisiac or fertility treatment. It does not increase libido and does not prevent sexually transmitted infections. It should be used after a medical assessment, particularly in those with heart disease, low blood pressure, liver disease, kidney disease or a history of vision or hearing problems.How Sildenafil Citrate Works
Sildenafil works by blocking the action of an enzyme called PDE5. This results in the cyclic guanosine monophosphate (cGMP) being active in the smooth muscle cells for a longer period of time. Increased cGMP activity relaxes blood vessels and increases blood flow to some tissues. In erectile dysfunction this helps to increase blood flow to the penile tissue during sexual arousal. In pulmonary arterial hypertension, sildenafil can relax the blood vessels in the lungs and decrease the resistance to blood flow in the lungs. Sildenafil only supports an erection when sexual stimulation is present. It does not create an automatic erection and should not be taken repeatedly to force a response.Medical Uses of Fildena 120 Mg
- Erectile dysfunction: Helps men with difficulty achieving or maintaining an erection when there is sexual stimulation.
- Pulmonary arterial hypertension: Sildenafil is used in specific lower-dose regimens for PAH to improve exercise ability; Fildena 120 Mg is not a routine PAH dosing strength and should not be substituted without specialist advice.
- Specialist off-label vascular use: Sildenafil may sometimes be considered by specialists for selected vasospastic conditions such as secondary Raynaud phenomenon, but this is not routine self-treatment.
Who Should Not Use This Medicine
Sildenafil is not suitable for everyone. A healthcare professional should review your medical history before use.Do NOT use if you have:
- Current use of nitrate medicines such as nitroglycerin, isosorbide mononitrate, or isosorbide dinitrate
- Use of recreational nitrates or “poppers”
- Use of riociguat for pulmonary hypertension
- A recent heart attack, stroke, or serious unstable heart condition unless cleared by a doctor
- Severe low blood pressure or uncontrolled high blood pressure
- Severe liver disease unless specifically approved by a physician
- A history of non-arteritic anterior ischemic optic neuropathy or sudden severe vision loss
- Known allergy to sildenafil citrate or tablet ingredients
- A condition where sexual activity has been medically discouraged
Dosage and Administration
Fildena 120 Mg is taken orally with water. It should be swallowed as a tablet and used only according to a doctor’s instructions. For erectile dysfunction, many standard sildenafil references describe 25 mg, 50 mg, and 100 mg tablets, with 50 mg often used as a usual starting dose and 100 mg as a commonly referenced maximum once-daily dose. Because this product contains 120 mg, it should not be treated as a standard starting dose. Do not split, increase, repeat, or combine it with other ED medicines unless your prescriber specifically instructs you.Important dosage tips
- Take only the dose prescribed for you.
- For erectile dysfunction, sildenafil is usually taken when needed before sexual activity, not as a routine daily tablet unless a doctor says otherwise.
- Do not take more than one dose in 24 hours unless your doctor has given a specific plan.
- If used for ED, a missed dose is usually not relevant because the medicine is taken as needed.
- If sildenafil is prescribed for PAH, follow the exact schedule and do not double doses after a missed dose.
- Avoid grapefruit juice unless your doctor confirms it is safe.
Side Effects
Common side effects
- Headache
- Flushing or warmth in the face
- Indigestion or heartburn
- Nausea
- Stuffy nose or nasal congestion
- Dizziness
- Back pain or muscle aches
- Temporary visual changes, such as blue tint or light sensitivity
Serious side effects
Seek urgent medical help if you experience:- Chest pain during or after sexual activity
- Fainting, severe dizziness, or symptoms of very low blood pressure
- Sudden vision loss or blurred vision
- Sudden hearing loss, ringing in the ears, or severe dizziness
- Painful erection or erection lasting 4 hours or longer
- Severe allergic reaction, swelling, rash, or breathing difficulty
Warnings and Precautions
Sildenafil needs caution in people with heart disease, angina, abnormal heart rhythms, low blood pressure, high blood pressure, kidney disease, liver disease, bleeding disorders, stomach ulcers, penile anatomical conditions, sickle cell disease, leukemia, multiple myeloma, or inherited eye disease. Alcohol may worsen dizziness, flushing, headache, or low blood pressure symptoms. Long-term use should be reviewed by a healthcare professional, especially if erectile dysfunction may be related to diabetes, vascular disease, hormonal problems, mental health concerns, or cardiovascular risk. Pregnancy is not relevant for ED treatment, but sildenafil may be used in women for pulmonary arterial hypertension under specialist supervision. Pregnant or breastfeeding patients taking sildenafil for PAH should be managed by appropriate specialists.Drug Interactions
Tell your doctor about all prescription drugs, over-the-counter medicines, vitamins, and supplements. Important interactions include:- Nitrates for chest pain
- Riociguat
- Alpha-blockers used for prostate or blood pressure conditions
- Other PDE5 inhibitors such as tadalafil, vardenafil, or avanafil
- Blood pressure-lowering medicines
- Strong CYP3A4 inhibitors such as ritonavir, ketoconazole, itraconazole, clarithromycin, or some HIV medicines
- Cimetidine
- St. John’s wort
- Grapefruit or grapefruit juice
Storage Instructions
Store Fildena 120 Mg Tablets at room temperature, away from excess heat, direct sunlight, and moisture. Keep tablets in their original packaging until use. Do not store them in a bathroom or damp area. Keep out of reach of children and pets. Do not use expired tablets, damaged strips, or tablets that have changed color, odor, or texture. Dispose of expired medicine according to local pharmacy or healthcare guidance.Clinically, sildenafil is prescribed when a healthcare professional determines that improved PDE5-mediated blood vessel relaxation may benefit a patient. In erectile dysfunction, doctors often assess cardiovascular risk because ED can sometimes be associated with diabetes, hypertension, atherosclerosis, smoking, obesity, or medication-related causes. In PAH, sildenafil is used in specific dosing schedules as part of specialist disease management.
For Fildena 120 Mg specifically, the higher strength makes medical review especially important. Patients should not use it as a trial medicine without evaluation, and it should not be combined with other ED products.
Is Fildena 120 Mg safe for long-term use?
It may be used long term only when a doctor considers it appropriate and monitors risk factors. Long-term use without assessment can delay diagnosis of underlying cardiovascular, endocrine, or metabolic conditions.
How long does sildenafil take to work?
For erectile dysfunction, sildenafil is commonly taken before sexual activity and may be used up to 4 hours beforehand. It may take longer to work after a heavy meal, and sexual stimulation is still required.
Can I stop sildenafil suddenly?
For occasional ED use, there is usually no tapering requirement. If sildenafil is prescribed for pulmonary arterial hypertension, do not stop it without medical advice.
Is Fildena 120 Mg safe during pregnancy?
Fildena 120 Mg is not used for ED in pregnancy. Sildenafil for PAH during pregnancy requires specialist supervision because pulmonary hypertension is a high-risk condition.
What happens if I miss a dose?
For ED, sildenafil is usually taken as needed, so missed doses are uncommon. For PAH regimens, take the missed dose as advised by your doctor and never double the next dose.
Can I take it with alcohol?
Alcohol may increase dizziness, flushing, and blood pressure-related side effects. Avoid heavy alcohol use and ask your doctor what is safe for your situation.
Can I take Fildena 120 Mg with other ED medicines?
No. Do not combine sildenafil with tadalafil, vardenafil, avanafil, or other erection medicines unless a doctor specifically directs it. Combining PDE5 inhibitors can increase side effect risk.
This content is for informational purposes only and does not replace professional medical advice. Always consult a healthcare professional before using any medication.
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