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Fildena Professional (Sildenafil) Buyer and Patient Handbook in South Africa

What is Fildena Professional?

Fildena Professional is a brand-name oral tablet that contains the active ingredient sildenafil, a phosphodiesterase-5 (PDE-5) inhibitor used to treat Erectile Dysfunction (ED). It belongs to the men's health and sexual health category and is approved by the South African Health Products Regulatory Authority (SAHPRA). The medication is supplied as a 100 mg pill for oral use.

Who Should Use Fildena Professional?

• Adult men experiencing difficulty achieving or maintaining an erection suitable for sexual activity.
• Individuals with a medically confirmed diagnosis of erectile dysfunction.
• Men whose cardiovascular status has been cleared for sexual activity (see Precautions).

How Does It Work?

Sildenafil works by blocking the enzyme PDE-5, which increases levels of cyclic guanosine monophosphate (cGMP) in the penile tissue. Higher cGMP relaxes smooth muscle and allows blood to flow into the penis during sexual stimulation, much like opening a valve when you step on the accelerator. The drug does not cause an erection without sexual arousal, and it has no effect on libido.

Why Choose Fildena Professional?

• Convenient dosing: a single 100 mg tablet usually taken about one hour before sexual activity.
• Rapid onset: many users notice an effect within 30-60 minutes.
• Trusted formulation: the brand uses a high-quality tablet that meets SAHPRA standards, while generic sildenafil offers the same clinical benefit at a lower cost. Off-label use (e.g., Pulmonary Hypertension) should only be considered after professional advice.

Dosage, Administration, Lifestyle and Dietary Recommendations

Recommended Dosage

• 100 mg taken 30-60 minutes before anticipated sexual activity.
• Do not exceed once per day.

How to Take

1. Swallow the tablet whole with a full glass of water.
2. Take with or without food; a high-fat meal may delay onset.

Missed Dose

If you forget to take the tablet before sexual activity, do not take a double dose later. Wait for the next planned occasion and resume the regular dosing schedule.

Overdose

If you suspect an overdose (e.g., taking more than 200 mg), seek emergency medical attention promptly; symptoms may include dizziness, low blood pressure, or prolonged erection.

Special Populations

• Elderly (≥65 years): start with 50 mg if there are concerns about blood pressure or other comorbidities.
• Renal or hepatic impairment: a lower starting dose (25-50 mg) is advised.
• Children and adolescents: not indicated.

Lifestyle & Diet

• Avoid excessive alcohol as it may diminish effectiveness and increase side-effects.
• Grapefruit juice can raise sildenafil levels; limit consumption.
• Engage in regular physical activity to improve overall Cardiovascular Health, which supports erectile function.

Precautions and Warnings

• Use only if cleared for sexual activity by a qualified health professional.
• Do not combine with nitrate medications (e.g., nitroglycerin) as severe hypotension can occur.
• Caution in men with uncontrolled hypertension, recent myocardial infarction, or severe Heart Failure.
• Monitor for visual changes (blurred vision, color tint) and discontinue if they persist.

Drug Interactions

Potential Side Effects

Common Side Effects

• Headache
• Flushing
• Nasal congestion
• Indigestion

Less Common Side Effects

• Dizziness
• Back Pain
• Vision changes (blue-tinted vision)

Serious Side Effects

• Prolonged erection (> 4 hours) - seek immediate medical care.
• Sudden hearing loss - contact a health professional promptly.
• Severe chest pain or palpitations - treat as an emergency.

Who Should Avoid This Medication?

• Men taking any form of nitrate medication.
• Individuals with severe uncontrolled hypertension or recent stroke.
• Patients with a known hypersensitivity to sildenafil or any tablet excipients.

Storage Instructions

• Keep the bottle tightly closed at room temperature (15-30 °C).
• Store away from excess heat, moisture, and direct sunlight.
• Keep out of reach of children and pets.

Fildena Professional Alternatives

Frequently Asked Questions

How soon before intimacy should I take Fildena Professional?

Take the tablet 30-60 minutes prior; effects can begin as early as 30 minutes in many users.

Can I take Fildenga Professional with food?

Yes, but a high-fat meal may delay the onset of action by up to 2 hours.

Will alcohol affect the medication?

Moderate alcohol is generally safe, but excessive drinking can reduce effectiveness and increase side-effects such as dizziness.

What should I do if I experience a painful erection lasting more than 4 hours?

Seek immediate medical attention; a prolonged erection can damage penile tissue.

Is it safe to use Fildena Professional if I have diabetes?

Most men with well-controlled Diabetes can use sildenafil, but you should discuss dosage and monitoring with a health professional.

Can I combine Fildena Professional with herbal supplements like ginseng?

Some supplements may affect blood pressure; consult a health professional before combining them.

Does Fildena Professional protect against sexually transmitted infections (STIs)?

No. Sildenafil treats erectile dysfunction only; condom use remains essential for STI protection.

Is it okay to take Fildena Professional more than once a day if I have frequent intercourse?

No. The medication is approved for a single daily dose; taking more increases the risk of side-effects without improving benefit.

Glossary

• PDE-5 inhibitor: A drug that blocks the enzyme phosphodiesterase-5, enhancing blood flow to the penis.
• cGMP: A molecule that relaxes smooth muscle, allowing blood vessels to widen.
• Hypotension: Abnormally low blood pressure, which can cause dizziness or fainting.

Disclaimer

The information provided here is for general educational purposes only and does not replace professional medical advice. Off-label uses require consultation with a qualified health professional. Readers are responsible for verifying the suitability of any medication for their individual health needs. Our service offers a platform to purchase approved medicines in South Africa; it does not dispense prescriptions or provide medical diagnoses. Always consult a qualified health professional before starting any new medication.