Fildena 150 mg

About the brand of the drug

Fildena 150 mg (Sildenafil citrate) is a drug used to treat sexual disorders. This powerful drug is manufactured by Fortune Healthcare Ltd., in India. Fildena is mainly used to treat impotency in men (Erectile Dysfunction or ED). ED is a condition where men are not able to produce or maintain a proper sustained penile erection during intercourse. Fildena is very effective and is one of the safest option available to treat ED.

About the drug

Fildena 150 mg is a generic urological agent mainly used in the treatment of Erectile Dysfunction and other sexual disorders in males. Physically it is a tiny red coloured triangle tablet and chemically consists of Sildenafil which is the main constituent of the blockbuster drug Viagra. The mechanism of Fildena is also the same as Viagra, where the drug increases the blood flow to the penile area. This causes an erection of the penis which can be sustained for the normal time of sexual intercourse. The drug is known for providing quick action.
Fildena is available as tablets and is to be taken by mouth without chewing. It is available in packs containing 90, 120, 150, 200 and 350 tablets. Fildena does not provide protection against any kind of sexually transmitted diseases.
Some other brands of Sildenafil citrate available in the market:
• P- Force Fort 150mg (Sunrise Remedies)
• Cenforce 150mg (Centurion Laboratories)

About the salt of the drug

Sildenafil citrate is commonly called ‘blue pill’ and is used to treat Erectile Dysfunction in men. It is the main constituent of the world-renowned drug Viagra. It is an FDA approved molecule which is most commonly used to treat ED. In ED, men are unable to get a sustained penile erection since there is limited blood flowing to this area due to some physical or psychological damage. Sildenafil is a Phosphodiesterase 5 (PDE5) blocker which basically regulates the flow of blood to different parts of the body. It relaxes the blood vessels in the penis which results in increased blood flow and helps in achieving a normal penile erection in men. It works well when the cause of ED is either physical or psychological.
Sildenafil is also used in the treatment of Pulmonary Arterial Hypertension.

Medical use of the drug

Fildena 150mg is a prescription drug and is used in the following conditions:
• Erectile Dysfunction (inability to achieve an erectile penis during sexual intercourse)
• In cases of impotence

Working of the drug

Fildena 150mg contains Sildenafil citrate which is a PDE5 inhibitor; it prevents the breakdown of cGMP which is responsible for the constriction of smooth muscles. As a result, the blood vessels are in a relaxed state. The muscles are also in a relaxed state. This allows more blood to be taken into the penis and hence produces an erection. In order to achieve a sustained erection, proper sexual stimulation is necessary before the intercourse. This is further aided by the nitric oxide produced in the penile region.

Side effects

Fildena 150mg is considered to be a higher dose used in the treatment of ED. They are not usually prescribed in the initial stages of therapy.
There are some side effects which are correlated with its usage:
• Flushing
• Headache
• Nausea
• Dizziness
• Visual disturbances
• Nasal congestion
• Sleep disturbances
If these symptoms persist, you should informed your doctor and get medical aid. In rare instances there is a chance of prolonged penile erection which might last for more than 4 hours; you should get immediate inform doctor in this situation.

How to use

Fildena 150mg is a highly potent drug and hence should be used only after consultation with a Registered Medical Practitioner (RMP).
• Follow all the guidance given by the doctor in an exact manner
• Read the label carefully for any important information
• Take the tablet at least 30 minutes to 1 hour prior to sexual intercourse
• Do not take more than one tablet of Fildena per day
• It should be swallowed and not chewed upon

Drugs which are known to interact with this medicine

Sildenafil citrate is a potent drug and hence there are chances of interaction with other chemical substances. Caution must be exercised while taking the following classes of drugs along with Fildena:
• Other PDE5 inhibitors like Levitra or Cialis
• Anti-fungal medications like ketoconazole and itraconazole
• Riociguat which is used in the treatment of pulmonary hypertension
• Medications used to treat high blood pressure like amlodipine
• Drugs used in the treatment of chest pain like nitrates (nitro-glycerine)
• Recreational drugs (those intended to create the euphoric effect) such as amyl nitrate

When to avoid taking the drug

You should be cautious while taking Fildena 150mg under the following situations:
• If you have any allergy towards Sildenafil or any drug belong to this class of urological agents
• When you are under treatment for any sort of heart conditions
• Those aged above 65 years are not recommended to take Fildena 150mg
• If you are taking Riociguat, inform your doctor before starting Fildena
• When you have any liver-related disease, it is better to avoid taking Fildena 150mg since it can lead to severe side effects
• It is not commonly given to women

Things to avoid when using the drug

• Alcohol- the consumption of alcohol while under this medication can lead to an increase in the frequency and intensity of the side effects
• Grapefruit products may interact with the Sildenafil present and cause side effects; hence they should be avoided
• Fatty meals are not recommended while under treatment using Fildena
• Do not take other drugs used to treat impotence like alprostadil without informing your doctor

General information and precaution

• Do not take this drug without consulting an RMP
• Follow the instructions given and read the label carefully
• Do not take more than one tablet a day even when you do not feel of the effects of the drug; talk your doctor
• Take Fildena at least 30 to 60 minutes prior to the sexual intercourse to get the fullest benefits
• If you have suffered from angina, be careful while using this drug since it can precipitate chest pain
• Those under 18 years of age must not take the drug unless they have a proper consultation with the doctor
• You have to report the use of this medication to your doctor before any sort of surgical procedures including dental procedures

Precautions:

• Pregnancy and lactation– Sildenafil is not supposed to affect an unborn baby; further studies have not been carried out. Fildena 150mg is not usually prescribed for those in pregnant and lactating stages
• Pre-existing conditions of the penis- when you have any pre-existing deformity of the penis (both anatomical or functional) you should be very careful and inform your doctor before starting the course
• Driving and operating heavy machinery must be avoided since the drug can cause drowsiness

Storage

• Store at room temperature – 15 to 30 degree Celsius
• Keep the tablets away from direct sunlight
• Store them in airtight containers to prevent entry of moisture
• Do not refrigerate Fildena unless stated

General FAQs regarding the drug

Is this drug habit forming in nature?

Ans. No. Fildena is not habit forming.

Can this drug be used in children?

Ans. No. Use of Fildena is usually not preferred in children below 18 years of age. However, under certain conditions, the doctor might evaluate the risks versus benefit scenario and prescribe them for children with pulmonary arterial hypertension.

Is this drug prescribed for women?

Ans. Fildena in lower doses is recommended for women only in cases of arterial pulmonary hypertension. However, Sildenafil citrate 150mg is highly potent and is not preferred for use in women.

Can I use this drug as per recommendation from a pharmacist or any other person in healthcare?

Ans. No. Generally this drug is not indicated during the initial level of treatment. It is prescribed after trying the lower doses of Sildenafil citrate (50mg,100mg or 120mg).