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Fildena Extra Power Information
Introduction
Fildena Extra Power is a sildenafil‑based oral tablet marketed for the treatment of erectile dysfunction (ED) in adult men. The product belongs to the men’s‑health medication group and is intended for use in Hong Kong where ED is a common yet often undertreated condition. Sildenafil, the active ingredient, works by enhancing the natural physiological response that leads to penile erection. Although the primary indication is ED, sildenafil is also an approved therapy for pulmonary arterial hypertension (PAH) in many jurisdictions; however, Fildena Extra Power is supplied specifically for erectile dysfunction.
What is Fildena Extra Power?
Fildena Extra Power is a tablet formulation that contains 100 mg of sildenafil citrate, the same active compound found in the well‑known brand Viagra® and other generic sildenafil products. The medication is classified as a phosphodiesterase‑5 (PDE5) inhibitor and is produced by manufacturers that specialize in generic cardiovascular and urological drugs. While the exact corporate identity may vary across batches, each tablet meets the quality standards required by international pharmacopeias and the Hong Kong Department of Health’s import regulations.
How Fildena Extra Power Works
Sildenafil inhibits the enzyme phosphodiesterase‑5, which is responsible for breaking down cyclic guanosine monophosphate (cGMP) in the smooth muscle of the corpus cavernosum. During sexual stimulation, nitric oxide released from nerve endings activates guanylate cyclase, raising intracellular cGMP levels. Elevated cGMP causes smooth‑muscle relaxation, increased arterial inflow, and trapping of blood within the erectile tissue, producing an erection. By preventing cGMP degradation, sildenafil prolongs this vasodilatory effect, allowing an erection to develop in response to sexual arousal.
Typical onset of action occurs within 30–60 minutes after oral intake, with the pharmacologic effect lasting 4–6 hours. The drug’s half‑life is approximately 4 hours, after which hepatic metabolism (primarily via CYP3A4) and renal excretion eliminate the majority of the compound.
Conditions Treated with Fildena Extra Power
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Erectile Dysfunction (ED): The principal indication. ED affects an estimated 20‑30 % of men aged 40 years and older in Hong Kong, rising to over 50 % in those older than 60 years (Hong Kong Urology Society, 2022). Sildenafil restores the physiological cascade needed for erection, providing reliable and reversible improvement in sexual performance.
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Pulmonary Arterial Hypertension (PAH) – off‑label context: While not marketed for PAH, sildenafil’s vasodilatory action on pulmonary vessels is the basis for its approved use in this condition elsewhere. Clinicians may consider the pharmacology when evaluating systemic vasodilators, but patients should only use a product specifically licensed for PAH.
Who is Fildena Extra Power For?
- Men with diagnosed erectile dysfunction who have a stable cardiovascular profile and are able to engage in sexual activity.
- Individuals who respond poorly to oral phosphodiesterase‑type 3 inhibitors (e.g., tadalafil) or who prefer a short‑acting option.
- Patients seeking a generic, cost‑effective alternative to brand‑name sildenafil products.
Contra‑indications include: concurrent use of nitrates (e.g., nitroglycerin), severe uncontrolled hypertension, recent history of stroke or myocardial infarction, severe hepatic impairment, or known hypersensitivity to sildenafil or any tablet excipients.
Risks, Side Effects, and Interactions
Common
- Headache
- Facial flushing
- Dyspepsia (indigestion)
- Nasal congestion
- Visual disturbances (e.g., colour tint, blurred vision)
These events are typically mild to moderate and resolve without intervention.
Rare
- Priapism (erection lasting > 4 hours)
- Sudden, unexplained hearing loss
- Severe hypotension, especially when combined with antihypertensive agents
Prompt medical attention is required for any of these symptoms.
Serious
- Anaphylactic reaction (rash, swelling, airway compromise)
- Myocardial infarction or cerebrovascular accident in patients with pre‑existing cardiovascular disease
- Life‑threatening hypotension when taken with nitrates or potent vasodilators
Clinically Relevant Drug–Drug Interactions
- Nitrates (e.g., glyceryl trinitrate, isosorbide dinitrate): Co‑administration can cause profound vasodilation and hypotension.
- Alpha‑blockers (e.g., tamsulosin, alfuzosin): May potentiate blood‑pressure‑lowering effects; dose titration and monitoring are essential.
- CYP3A4 inhibitors (e.g., ketoconazole, erythromycin, ritonavir): Increase sildenafil plasma concentrations, raising the risk of adverse events; dose reduction to 50 mg is advised.
- CYP3A4 inducers (e.g., rifampicin, carbamazepine): Reduce sildenafil exposure, potentially diminishing efficacy.
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
- Standard dosing: 25 mg, 50 mg, or 100 mg taken as needed, approximately 30–60 minutes before anticipated sexual activity. The lowest effective dose is recommended to minimize side effects.
- Maximum frequency: No more than one tablet per 24‑hour period. Repeated daily dosing is not indicated for erectile dysfunction.
- Missed dose: Because the medication is taken only when sexual activity is planned, a missed dose simply means the tablet was not taken; no “make‑up” dose is required.
- Overdose: Symptoms may include severe hypotension, syncope, prolonged erection, or visual changes. In suspected overdose, seek emergency medical care; treatment is supportive, focusing on blood‑pressure stabilization and monitoring for priapism.
- Food and alcohol: A high‑fat meal can delay absorption, extending onset time. Moderate alcohol consumption is acceptable, but excessive intake may increase the risk of hypotension and dizziness.
- Comorbidities: Adjust dosing in patients with moderate hepatic impairment (reduce to 50 mg) or severe renal impairment (use 25 mg and monitor closely).
Buying Fildena Extra Power from Our Online Pharmacy
Fildena Extra Power can be purchased directly from our online pharmacy in Hong Kong. Our service offers several advantages for patients seeking reliable access to generic sildenafil:
- Affordable pricing: Prices are set close to manufacturer cost, providing a significant saving compared with brand‑name alternatives.
- Verified quality: All tablets are sourced from licensed overseas manufacturers that comply with Good Manufacturing Practice (GMP) standards and are inspected by independent quality‑control laboratories.
- Guaranteed delivery: Discreet packaging is dispatched via express courier (delivery within 7 days) or regular airmail (approximately 3 weeks), with tracking available for every order.
- Online‑only accessibility: We operate as a pharmacy‑broker service, partnering with overseas licensed pharmacies and suppliers. This model enables us to bring international medications to Hong Kong residents who may have limited access through local pharmacies or insurance formularies.
- Privacy‑focused: Every shipment respects patient confidentiality; no pharmacy branding is displayed on the outer package, and we do not retain personal health data beyond what is required for order fulfillment.
Our platform is designed for adult patients who are capable of responsibly managing their own health decisions and who have consulted a qualified healthcare professional before using the medication.
FAQ
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Is Fildena Extra Power available in both brand‑name and generic forms in Hong Kong?
Yes. The original brand‑name product containing sildenafil is marketed as Viagra®, while Fildena Extra Power is a validated generic version that delivers the same therapeutic effect at a lower cost. -
What is the ideal way to store Fildena Extra Power?
Store the tablets at room temperature (15 °C–30 °C), away from direct sunlight, moisture, and heat sources. A dry cabinet or a drawer in a climate‑controlled area is suitable. -
Can I travel with Fildena Extra Power on an international flight?
Yes. Keep the medication in its original packaging with a copy of the purchase receipt. For flights longer than six hours, retain the tablets in your carry‑on luggage to avoid temperature extremes in the cargo hold. -
Does grapefruit juice affect the efficacy or safety of Fildena Extra Power?
Grapefruit juice can inhibit CYP3A4 enzymes, increasing sildenafil plasma levels and the likelihood of side effects such as headache or flushing. It is advisable to avoid large amounts of grapefruit products when using the medication. -
What do the tablets of Fildena Extra Power look like?
Each tablet is round, blue‑colored, and imprinted with “100 mg FILDENA” on one side. The appearance is consistent across batches supplied by our trusted manufacturers. -
Are there any special warnings for Asian populations taking sildenafil?
Pharmacokinetic studies indicate that Asian males may experience slightly higher plasma concentrations of sildenafil at equivalent doses, possibly due to genetic variations in CYP3A4 activity. Starting at the lower 25 mg dose and titrating upward is recommended. -
Will Fildena Extra Power show up on a standard drug test?
Standard employment drug screens (e.g., urine immunoassays) do not detect sildenafil. However, specialized testing can identify the compound if specifically requested. -
Can Fildena Extra Power be imported for personal use in Hong Kong?
Personal import of up to 30 tablets for personal consumption is permitted under Hong Kong’s “personal import scheme,” provided the product is for a legitimate medical purpose and the importer holds a valid prescription from a registered practitioner. -
How long is the shelf life of Fildena Extra Power?
The tablets remain stable for 24 months when stored under recommended conditions. The expiration date is printed on the outer blister pack. -
Is there a risk of developing tolerance to sildenafil over time?
Current clinical evidence does not support significant tolerance development with intermittent use. Continuous daily dosing is not advised for erectile dysfunction, which further reduces the chance of tolerance. -
What inactive ingredients are present in Fildena Extra Power?
The formulation includes microcrystalline cellulose, lactose monohydrate, magnesium stearate, and silicon dioxide as excipients. Patients with severe lactose intolerance should consult their healthcare provider before use. -
Can I safely combine Fildena Extra Power with antihypertensive medication?
Sildenafil can modestly lower blood pressure, especially when taken with certain antihypertensives (e.g., alpha‑blockers). Most patients tolerate the combination well, but blood pressure should be monitored after the first dose, and dosage adjustments may be required.
Glossary
- Phosphodiesterase‑5 (PDE5) Inhibitor
- A class of drugs that block the PDE5 enzyme, preventing the breakdown of cGMP and thereby promoting smooth‑muscle relaxation in the penis.
- Cyclic Guanosine Monophosphate (cGMP)
- A signaling molecule that mediates vasodilation in response to nitric oxide; elevated levels lead to increased blood flow necessary for erection.
- Priapism
- A prolonged, often painful erection lasting more than four hours, which can cause permanent tissue damage if not treated promptly.
- Bioavailability
- The proportion of an administered dose that reaches systemic circulation in an active form; for sildenafil tablets taken on an empty stomach, bioavailability is approximately 40 %.
⚠️ 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.
Information about ordering Fildena Extra Power in online pharmacy asia
One can buy Fildena Extra Power online by accepting the following conditions:- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to sildenafil and fully familiar with medication Fildena Extra Power;
- No paper instructions about side effect warnings or usage directions are sent with Fildena Extra Power medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.