Description
Super Fildena is a combo pill of sildenafil citrate 100 mg and Dapoxetine 60 mg. Sildenafil is a phosphodiesterase type 5 inhibitor used for erectile dysfunction, whereas dapoxetine is a short-acting selective serotonin reuptake inhibitor used in some countries for premature ejaculation. For Canadian websites, it is crucial to note that dapoxetine is not approved for sale in Canada and sexual enhancement goods should be checked with Health Canada before usage or distribution. Sildenafil is a prescription medicine in Canada and should only be used under the care of a healthcare professional, due to cardiovascular and drug-interaction concerns.What is Super Fildena?
Super Fildena is a fixed-dose combination medicine containing two active ingredients: sildenafil and dapoxetine. Sildenafil belongs to the PDE5 inhibitor class and is used to help adult men with erectile dysfunction. Dapoxetine belongs to the SSRI class and has been used internationally for premature ejaculation, but Health Canada has stated that dapoxetine is not authorized for sale in Canada. Because this product combines two medicines that affect different body systems, it requires careful medical review. A healthcare professional may need to check heart health, blood pressure, mental health history, current drugs, liver and kidney function and whether sexual activity is medically safe.How Sildenafil / Dapoxetine Works
Sildenafil blocks an enzyme called phosphodiesterase-5 (PDE5) that breaks down cyclic guanosine monophosphate, or cGMP. Nitric oxide is released in the erectile tissue during sexual stimulation. It works by increasing cGMP, which causes smooth muscle to relax and allows more blood to flow into the penis. Sildenafil does not cause an automatic erection and does not increase sexual desire; sexual stimulation is still required. Dapoxetine works differently. It is believed to inhibit serotonin reuptake in the nervous system, increasing serotonin activity at nerve receptors involved in ejaculation control. This may delay ejaculation in some patients with premature ejaculation. However, because dapoxetine is not authorized for sale in Canada, Canadian patients should not treat it as an approved local treatment option unless guided through a legal and clinically appropriate pathway.Medical Uses of Super Fildena
- Erectile dysfunction: Sildenafil may help adult men who have difficulty achieving or maintaining an erection sufficient for sexual activity.
- Premature ejaculation: Dapoxetine has been used in some countries for premature ejaculation, but it is not authorized for sale in Canada.
- Co-existing erectile dysfunction and premature ejaculation: A clinician may assess both conditions together, but combination therapy should not be self-started due to interaction and safety risks.
Who Should Not Use This Medicine
Super Fildena is not suitable for many patients because it combines a cardiovascular-active medicine with an SSRI-type medicine. Do not use it without a healthcare professional’s approval.Do NOT use if you have:
- Use of nitrates such as nitroglycerin, isosorbide mononitrate, or isosorbide dinitrate
- Use of recreational nitrites, often called “poppers”
- Use of riociguat or other guanylate cyclase stimulators
- Severe heart disease, unstable angina, recent heart attack, recent stroke, or serious arrhythmia
- Very low blood pressure or uncontrolled high blood pressure
- Previous non-arteritic anterior ischaemic optic neuropathy, also called NAION
- Severe liver disease
- History of fainting, mania, bipolar disorder, or seizure disorder
- Use of MAO inhibitors, other SSRIs, SNRIs, tricyclic antidepressants, lithium, St. John’s wort, or medicines that increase serotonin
- Known allergy to sildenafil, dapoxetine, or any tablet ingredient
Dosage and Administration
Super Fildena should not be taken as a routine self-treatment. The tablet is taken orally, but dose suitability must be determined by a qualified healthcare professional. Sildenafil product information in Canada lists 100 mg as the maximum recommended sildenafil dose for erectile dysfunction, and lower doses may be considered for older adults or people with liver impairment, severe kidney impairment, or CYP3A4 inhibitor use. Because Super Fildena contains sildenafil 100 mg plus dapoxetine 60 mg, the strength may be unsuitable for many patients. Do not split, repeat, or combine it with other erectile dysfunction or antidepressant medicines unless specifically directed.Important dosage tips
- Do not take more than directed by a healthcare professional.
- Avoid taking more than one dose within 24 hours.
- Sildenafil may take longer to work after a high-fat meal.
- If used on an as-needed basis, there is usually no missed-dose schedule.
- Seek urgent medical help for an erection lasting longer than 4 hours.
- Do not combine with alcohol-heavy intake, recreational drugs, or nitrate products.
Side Effects
Side effects may come from sildenafil, dapoxetine, or the combination of both.Common side effects
- Headache
- Dizziness
- Facial flushing
- Indigestion or stomach discomfort
- Nausea
- Diarrhea
- Nasal congestion
- Abnormal vision or light sensitivity
- Sleepiness or fatigue
- Dry mouth
- Increased sweating
Serious side effects
- Chest pain or pressure
- Fainting or severe dizziness
- Sudden vision loss
- Sudden hearing decrease or ringing in the ears
- Erection lasting longer than 4 hours
- Seizure
- Severe mood changes, agitation, mania, or suicidal thoughts
- Irregular heartbeat
- Severe allergic reaction, swelling, rash, or breathing difficulty
- Symptoms of serotonin syndrome, such as confusion, fever, tremor, sweating, diarrhoea, or muscle stiffness
Warnings and Precautions
Pregnancy warning: Super Fildena is intended for male sexual dysfunction and is not indicated for use in women. It should not be used during pregnancy or breastfeeding. Alcohol interaction: Alcohol can increase dizziness, fainting risk, low blood pressure, and impaired judgment. Combining alcohol with sildenafil/dapoxetine may also worsen sexual performance and increase adverse effects. Long-term use risks: Repeated use without medical supervision may delay diagnosis of cardiovascular disease, diabetes, hormonal disorders, depression, anxiety, or medication-related sexual dysfunction. Special population caution: Older adults, people with liver or kidney impairment, and patients taking multiple medicines may have a higher risk of side effects. Sildenafil exposure can increase in older adults and in hepatic or severe renal impairment.Drug Interactions
Super Fildena may interact with:- Nitrates and nitrite products
- Riociguat
- Alpha-blockers such as doxazosin or tamsulosin
- Blood pressure medicines
- Other PDE5 inhibitors such as tadalafil, vardenafil, or avanafil
- HIV protease inhibitors such as ritonavir or saquinavir
- Antifungals such as ketoconazole or itraconazole
- Macrolide antibiotics such as erythromycin or clarithromycin
- MAO inhibitors
- SSRIs, SNRIs, tricyclic antidepressants, and other serotonergic medicines
- Tramadol, linezolid, lithium, tryptophan, and St. John’s wort
- Recreational drugs and alcohol
- Grapefruit juice
Storage Instructions
Store tablets at room temperature, away from heat, moisture, and direct sunlight. Keep the medicine in its original packaging and out of reach of children. Do not use tablets after the expiry date or if packaging appears damaged, relabelled, misspelled, or altered. For Canadian safety, check whether the product has a valid Drug Identification Number, known as a DIN, if it is being represented as an authorized drug. Health Canada states that authorized sexual enhancement products in Canada should have a DIN, NPN, or DIN-HM, depending on product type.
Clinical Notes
Clinically, erectile dysfunction and premature ejaculation can be separate conditions or may occur together. Erectile dysfunction may be associated with cardiovascular disease, diabetes, obesity, smoking, stress, anxiety, depression, or medication effects. Premature ejaculation may involve psychological, neurological, relationship, or prostate-related factors.
Doctors do not usually assess these conditions only by symptoms. They may review cardiovascular risk, blood pressure, current prescriptions, substance use, mental health history, and sexual health history. In Canada, the key clinical concern for Super Fildena is not only whether sildenafil and dapoxetine may be medically relevant, but also whether the product is legally authorized and safely supplied.
Frequently Asked Questions
Is Super Fildena safe for long-term use?
Long-term use should not occur without medical supervision. Ongoing erectile or ejaculation problems may indicate an underlying health condition that needs assessment.
Can I stop taking Super Fildena suddenly?
If taken occasionally, stopping usually does not require tapering. However, because dapoxetine affects serotonin pathways, speak with a healthcare professional if you have used it repeatedly or with other mental health medicines.
How long does it take to work?
Sildenafil is often taken before sexual activity, but onset varies by patient, food intake, and health status. High-fat meals may delay sildenafil absorption.
Is Super Fildena safe during pregnancy?
No. This product is not indicated for women, pregnancy, or breastfeeding.
What happens if I miss a dose?
For sexual dysfunction, this type of medicine is generally used only when needed. Do not take extra tablets to make up for a missed dose.
Can I take Super Fildena with alcohol?
Alcohol may increase dizziness, fainting, low blood pressure, and poor sexual response. Heavy alcohol use should be avoided.
Is Super Fildena authorized in Canada?
The dapoxetine component is not authorized for sale in Canada, according to Health Canada. Any sexual enhancement product should be verified for Canadian authorization before use or sale.
Disclaimer
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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