Fildena®

Fildena Fildena

Fildena is used to treat erectile dysfunction. The therapeutic effect of Fildena is aimed at promoting natural sexual arousal in men. The primary active ingredient in Fildena is sildenafil.

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  • Brand(s):Fildena
  • Manufacturer:Fortune Health Care
  • Disease(s):Erectile Dysfunction / Impotence / Pulmonary Arterial Hypertension
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What is Fildena 25?

Indication. Treatment of erection disorders, which are defined as the inability to achieve and maintain the erection of the penis necessary for successful sexual intercourse.

For the effective action of the drug requires sexual arousal.

Contraindication. Hypersensitivity to sildenafil or any auxiliary substance.

Due to the effect on the exchange of nitric oxide/cGMP sildenafil enhances the hypotensive effect of nitrates in their single or long-term use, so its constant or periodic use with nitric oxide donators, organic nitrates or organic nitrites in any form is contraindicated.

Fildena 25 How to Use

Drugs Fildena 25 for the treatment of erection disorders, including sildenafil, should not be used in patients for whom sexual activity is not recommended (for example, patients with severe cardiovascular diseases, such as unstable angina or severe heart failure).

Sildenafil is contraindicated in patients who have lost vision in one eye through non-arterial anterior ischemic optic neuropathy, regardless of whether it occurred through pre-ADMINISTRATION of the fde5 inhibitor or not.

The safety of sildenafil has not been studied in the following subgroups of patients, so these patients use the drug is contraindicated: patients with severe hepatic impairment, hypotension (blood pressure

Fildena 25mg side effects

The tablets are intended for oral administration. To realize the effect of sildenafil, sexual arousal is necessary.

Large. The recommended dose for adults is Fildena 25, which is taken as needed about 1 hour before the intended sexual intercourse. Depending on the efficacy and tolerability, the dose can be increased to 100 mg or reduced to 25 mg.the maximum recommended dose is 100 mg. the maximum recommended frequency of administration is 1 time per day. The activity of the drug may occur after a longer period when taken with food compared with fasting.

Patients with impaired renal function. Patients with renal insufficiency of mild and moderate severity (creatinine clearance is 30-80 ml/min) dosage regimen is not changed. Because in patients with severe renal failure (creatinine clearance
25 mg.

Where the ED drug should be stored?

Patients with impaired liver function. Since patients with liver failure, such as cirrhosis, sildenafil clearance is reduced, such as cirrhosis, the use of the drug should begin with a dose of 25 mg.

Patients who use other drugs (eg ketoconazole, erythromycin, cimetidine, ritonavir). Detailed information is given in the section “Interaction with other drugs and other types of interaction”. The recommended initial dose of the drug to patients who use CYP3A4 inhibitors, with the exception of ritonavir (the use of which together with sildenafil is not recommended), is 25 mg.

Why buy Fildena 25mg

In order to minimize the risk of orthostatic hypotension, the condition of patients who use alpha-adrenoceptor blockers should be stabilized before the use of sildenafil. The recommended initial dose of sildenafil is 25 mg.

Children. Sildenafil is not indicated for use in persons under the age of 18 years.

Elderly patients. For elderly patients, a change in dosage is not required.

Fildena 25 mg Tablets Dosage

The most common adverse reactions were headache, hot flashes, dyspepsia, abnormal vision, nasal congestion, dizziness.

Adverse reactions are classified by frequency of occurrence: very often (more than 10 %), often (1-10 %), infrequently (0.1-1 %), rarely (0.01-0.1 %). The incidence of clinically significant adverse reactions, reported in psarestore the period specified as unknown.

From the immune system: rarely-hypersensitivity reactions.

From the nervous system: very often – headache; often-dizziness; infrequently-drowsiness, hypoesthesia (decreased sensitivity); rarely – acute cerebrovascular accident, fainting; frequency unknown – transient ischemic attack, convulsions, repeated convulsions.

From the side of organs of vision: common – abnormal vision (blurred vision, hypersensitivity to light), chromatopsia (moderate, transient, mostly color vision); rarely, diseases of the conjunctiva, violation Lacrimas, other eye diseases; frequency is unknown – heartily front ischemic optic nerve neuropathy (NAION) occlusion of the retinal vessels, loss of visual fields.

Customer Reviews

Organs of hearing: infrequent – vertigo, tinnitus; rare – deafness (number of reported cases of sudden hearing loss or sudden hearing loss in the case, including sildenafil).

From the cardiovascular system: often-vasodilation (tides), infrequently – palpitation (palpitation), tachycardia; rarely – hypertension, hypotension, myocardial infarction, atrial fibrillation; frequency unknown – ventricular arrhythmia, unstable angina, sudden cardiac death.

From the respiratory system: often-rhinitis (nasal congestion); infrequent – nasal bleeding.

Action Mechanism

From the digestive system: often-dyspepsia; infrequently-vomiting, nausea, dry mouth.

From the skin and subcutaneous tissue: infrequently-skin rash; frequency unknown-Stevens-Johnson syndrome, toxic epidermal necrolysis.

From the side of musculoskeletal system: rarely – myalgia.

Active Ingredient

From the reproductive system: the frequency is unknown – priapism, a prolonged erection.

General disorders: uncommon – chest pain, weakness.

Studies: infrequently-increased heart rate.

Overdose. In studies involving healthy volunteers with a single dose of the drug up to 800 mg undesirable effects were similar to those observed when taking lower doses of sildenafil, but the frequency of their occurrence and severity increased. Doses of Fildena 25 were not more effective, but the frequency of adverse reactions (headache, tides, dizziness, dyspepsia, nasal congestion, vision changes) was higher.

In case of overdose, symptomatic therapy should be used, if necessary. It should be noted that dialysis can not accelerate the excretion of the drug, since sildenafil is characterized by a high degree of binding to plasma proteins and there is no elimination of it with urine.

Use during pregnancy or breast-feeding. Sildenafil is not intended for use by women.

Children. Sildenafil is not indicated for use in persons under the age of 18 years.

Review and Description

Features of the application. Prior to therapy should collect medical history of the patient and conduct a physical examination to diagnose erectile dysfunction and determine its possible causes.

For the effectiveness of Sildenafil requires sexual stimulation.

Who can use Fildena 25mg?

Sexual activity is associated with a certain degree of risk due to the possibility of a heart attack. So, before starting a course of any treatment of erection disorders, the doctor should check the state of the patient’s cardiovascular system. Sildenafil shows a systemic vasodilating effect, which led to a slight and transient decrease in blood pressure.

Drugs intended for the treatment of erectile dysfunction should not be used in patients for whom sexual activity is not recommended. Before prescribing sildenafil, the doctor should carefully weigh the risk of undesirable manifestations of vasodilatation in patients with certain concomitant diseases, especially against the background of sexual activity. Increased sensitivity to vasodilators is observed in patients with left ventricular obstruction (aortic stenosis, obstructive hypertrophic cardiomyopathy), as well as with multiple manifestations of systemic atrophy, which occurs in isolated cases and manifests a severe violation of Autonomous control of blood pressure.

Sildenafil potentiates the hypotensive effect of nitrates (see section “Contraindications”).

It was reported the serious cardiovascular complications that coincide in time with the intake of sildenafil. These include myocardial infarction, unstable angina, sudden cardiac death, ventricular arrhythmia, cerebrovascular hemorrhage, transient ischemic attack, hypertension and hypotension. Most but not all of these patients had previous cardiovascular risk factors. The predominant number of such cases was observed during or immediately after sexual activity, a small part – a short period after taking sildenafil without sexual activity. Thus, it is impossible to establish a direct relationship of such cases with the use of sildenafil, sexual activity, with concomitant cardiovascular diseases, a combination of these factors or other factors.

Drugs intended for the treatment of erectile dysfunction, including sildenafil, should be used with caution in patients with anatomical deformities of the penis (such as angulations, cavernous fibrosis or Peyronie’s disease) or patients who have diseases that can lead to the development of priapism (such as sickle cell anemia, multiple myeloma or leukemia).

The safety and effectiveness of the combination of sildenafil with other agents intended for the treatment of erectile dysfunction has not been studied. Therefore, the appointment of such combinations is not recommended.

Why Fildena 25mg is a popular treatment for erectile dysfunction problems?

When USING PDE5 inhibitors, including sildenafil, non-arterial anterior ischemic optic neuropathy (NAION) has been reported, which is the cause of reduction or loss of vision. Patients should be warned about the need to immediately consult a doctor and stop using the drug in case of sudden deterioration of vision.

Simultaneous use of sildenafil with ritonavir is not recommended (see section “Interaction with other drugs and other types of interactions”).

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