Fildena 100 mg (Sildenafil Citrate)

What Fildena 100 mg is

Fildena 100 mg is an oral tablet that contains 100 mg of sildenafil citrate, the same active ingredient found in Viagra. Fortune Healthcare Pvt Ltd manufactures it, and it is prescribed to men who have trouble getting or keeping an erection that is firm enough for sex.

Doctors call this problem erectile dysfunction, or ED. It is far more common than most men admit, and it is usually a signal that blood flow, nerves, hormones or mental health need attention, not a personal failing.

Fildena treats the symptom, not the root cause. It helps an erection happen when you are aroused, but it does nothing without stimulation, it does not raise desire and it does not protect against sexually transmitted infections. It is also a prescription medicine, so a doctor should check your health before you use it.

ED often has an underlying cause that deserves its own treatment. Heart disease, diabetes, high blood pressure, low testosterone, some medicines and long-term stress are all common triggers, and a doctor can look into the causes of erectile dysfunction before deciding whether sildenafil is the right option for you.

Fildena 100 mg at a glance

Active ingredient	Sildenafil citrate, 100 mg
Medicine class	PDE5 inhibitor
Manufacturer	Fortune Healthcare Pvt Ltd
Pack	10 tablets per strip
Usual onset	30 to 60 minutes after a dose
Usual duration	About 4 to 5 hours
Maximum frequency	One tablet in 24 hours
Prescription	Required
Not for	Women, anyone under 18, anyone taking nitrates

How Fildena works, step by step

1. Arousal sends signals through the nerves of the penis, which release nitric oxide.
2. Nitric oxide triggers the production of cGMP, a chemical that relaxes the smooth muscle in the penile arteries.
3. The relaxed arteries widen, and blood fills the spongy erectile tissue.
4. Normally an enzyme called PDE5 breaks cGMP down, which limits how long the effect lasts.
5. Sildenafil citrate blocks PDE5, so cGMP stays active for longer and the erection is easier to get and to keep.

Because the whole process starts with arousal, the tablet cannot create an erection on its own. When stimulation ends, the chemistry returns to normal and the erection settles.

What to expect after a dose

• Before you take it: swallow one tablet whole with water. A light meal is fine, but a heavy, high-fat meal can slow absorption.
• 30 to 60 minutes: most men start to feel the effect in this window, sometimes later if they have just eaten.
• The first couple of hours: the effect is usually at its strongest, as long as you are sexually stimulated.
• Around 4 to 5 hours: the effect gradually fades. Individual results vary.
• The rest of the day: do not take a second tablet, even if the first attempt did not go as hoped.

Anxiety, tiredness, alcohol and a heavy meal can all blunt the result, so one disappointing attempt does not mean the medicine has failed. If it keeps falling short, speak to your doctor instead of adding tablets.

Is 100 mg the right strength for you?

Sildenafil is made in several strengths, commonly 25 mg, 50 mg and 100 mg, and 100 mg is the highest recommended dose. That does not make it the best choice for everybody. A doctor weighs your age, your heart and blood pressure, how well your liver and kidneys work, the other medicines you take and how you reacted to earlier doses.

Some men do well on a lower strength, and the doctor may lower the dose if side effects are bothersome. Others may be moved up to 100 mg if a lower dose gave too little benefit. Either way, the decision belongs to your doctor. Never take extra tablets, cut tablets to make your own dose, or borrow someone else’s medicine to experiment with strength.

Fildena variants and similar sildenafil brands

Fortune Healthcare sells sildenafil in a few different forms under the Fildena name. Fildena CT 100 is a chewable tablet, while Fildena XXX 100 and Fildena Professional 100 are separate products that also carry 100 mg of sildenafil citrate. The active ingredient is the same, so the warnings on this page apply to all of them.

If you are comparing sildenafil brands, Cenforce 100 contains the same dose from a different manufacturer. Pick one product, learn how your body responds, and avoid mixing brands on the same day, because that is the same as doubling the dose.

Taking it safely: a short checklist

• Take it only as prescribed, and only when you expect sexual activity.
• Swallow the tablet whole. Do not chew or crush it, unless you are using the chewable Fildena CT.
• Keep to one tablet in 24 hours, whatever the brand or strength.
• Limit alcohol. A drink or two may be fine, but heavy drinking blunts erections and adds to dizziness.
• Skip grapefruit and grapefruit juice around the time of the dose.
• Stand up slowly after taking it, because blood pressure can dip.
• Keep the strip in its original packaging at room temperature, away from moisture, heat and children.
• Never share the tablets, and never use them past the expiry date.

Medicines and substances that do not mix with it

The most important rule is this: never use sildenafil with a nitrate. Nitrates, such as nitroglycerin, isosorbide mononitrate and isosorbide dinitrate, are used for chest pain and heart disease. They also exist in recreational “poppers” (amyl nitrite). Together with sildenafil they can cause a sudden, severe fall in blood pressure that leads to fainting, heart attack or stroke.

Riociguat, a medicine for pulmonary hypertension, carries the same danger. Tell your doctor and pharmacist about everything else you use, because several groups of medicines can change how sildenafil behaves or add to its effect on blood pressure:

• Alpha-blockers used for the prostate or blood pressure, such as tamsulosin and terazosin
• Other blood pressure medicines
• Certain antifungals and antibiotics, such as ketoconazole and clarithromycin
• Some HIV medicines, such as ritonavir and atazanavir
• Any other ED treatment

Side effects: what is normal and what is not

What you notice	What it usually means and what to do
Headache or flushed face	Common and usually mild. It passes within a few hours.
Blocked nose or indigestion	Common and short-lived. Rest and drink water.
Dizziness or light-headedness	Sit or lie down, and do not drive until it passes.
Blue tint to vision or light sensitivity	Usually temporary. Avoid driving, and see a doctor if it lasts.
Erection lasting more than 4 hours, or a painful one	Emergency. Go to hospital right away to protect the penis.
Sudden loss of vision in one or both eyes	Emergency. Seek urgent medical help.
Sudden hearing loss, ringing or severe dizziness	Emergency. Stop using it and seek urgent medical help.
Chest pain, fainting or an irregular heartbeat	Emergency. Call emergency services.
Swollen lips, face or throat, or a severe rash	Possible allergic reaction. Seek emergency help.

Who should not take Fildena 100 mg

Do not use it if you are allergic to sildenafil, if you take nitrates or riociguat, or if a doctor has told you to avoid sexual activity because of a heart condition. It is not meant for women, including pregnant and breastfeeding women, and it is not for anyone under 18.

Speak to your doctor first if you have had a heart attack or stroke recently, have very high or very low blood pressure, liver or kidney disease, a bleeding disorder, a stomach ulcer, sickle cell disease, leukaemia, multiple myeloma, retinitis pigmentosa or a penile condition such as Peyronie’s disease. Men over 65 may be started on a lower dose, and you should tell any surgeon or dentist that you use sildenafil before a procedure.

Habits that help erections work better

A tablet works best when the body underneath it is in good shape. Regular exercise improves circulation, and losing excess weight often improves erections on its own. Quitting smoking helps the small arteries of the penis, and cutting down on alcohol removes a common cause of weak or inconsistent erections. Poor sleep and constant stress lower both desire and performance.

It also helps to understand what is going on. Read about the causes of impotence and the wider picture of sexual dysfunction in men, and keep up with routine checks for blood pressure, cholesterol and blood sugar. ED can be an early warning sign of heart disease, which is another reason to involve a doctor. Talking openly with your partner also lowers performance pressure, which is a real factor for many men.

Common questions about Fildena 100 mg

Will it work if I am not aroused?

No. Sildenafil supports the natural erection process, but it needs sexual stimulation to start it.

Can I take it every day?

The limit is one tablet in 24 hours. It is normally used as needed, not as a daily routine, so follow the schedule your doctor gives you.

Can I cut the tablet in half?

Splitting is not recommended, because the medicine may not be spread evenly through the tablet. If you need a lower dose, ask your doctor to prescribe a lower strength.

How should I store it?

Keep the strip in its original pack at room temperature, away from damp, direct heat and sunlight, and out of the reach of children.

How is it different from Viagra?

The active ingredient is the same, so the way it works and its main risks match. The differences are the manufacturer, the inactive ingredients and usually the price. If you want a deeper look, read is Viagra safe before you decide.

What if it stops working as well?

Do not raise the dose yourself. A change in response can come from a new medicine, weight gain, diabetes, poor sleep, alcohol or stress, so book a check-up and let your doctor look for the cause.