Fildena Extra Power (Sildenafil Citrate) — Patient Information (Australia)

Fildena Extra Power contains sildenafil citrate, a medicine used to help men with erectile dysfunction (ED) achieve and maintain an erection suitable for sexual activity. This page provides patient-friendly information about how it works, when to take it, important safety considerations, and practical tips for use in Australia.

Important safety note (read before use)

Fildena Extra Power is not for everyone. Do not use sildenafil if you take medicines called nitrates (often prescribed for chest pain/angina) or riociguat for pulmonary hypertension. This combination can cause a dangerous drop in blood pressure.

Seek urgent medical help if you experience chest pain during sexual activity, fainting, sudden severe dizziness, symptoms of an allergic reaction (such as swelling of the face/lips), or vision or hearing changes.

What is erectile dysfunction?

Erectile dysfunction is the repeated inability to get or keep an erection firm enough for satisfactory sexual performance. It can be occasional, but when it becomes persistent, it may involve blood flow, nerve signalling, hormones, stress, and general health factors. Sildenafil helps support the blood-flow process that is needed for erection when you are sexually stimulated.

Basic product information

Fildena Extra Power is an oral tablet containing sildenafil citrate. Sildenafil belongs to a class of medicines known as phosphodiesterase type 5 (PDE5) inhibitors.

How Fildena Extra Power works (mechanism of action)

During sexual stimulation, the body releases nitric oxide, which activates a pathway that relaxes blood vessels in the penis. This increases blood flow and helps produce an erection.

Sildenafil works by inhibiting PDE5, an enzyme that would normally break down cyclic GMP. By slowing this breakdown, sildenafil helps keep the erection-supporting chemical signal active for longer, improving blood flow to the penis.

Key point: Sildenafil does not automatically create an erection. Sexual stimulation is still required.

Pharmacokinetics (how the body handles sildenafil)

Pharmacokinetics describe how a medicine is absorbed, distributed, metabolised, and eliminated. Understanding these helps explain timing and interactions.

• Absorption: Sildenafil is absorbed after oral dosing. Peak blood levels typically occur within about 30–120 minutes, depending on factors like food and individual variation.
• Onset of effect: Many people notice effectiveness in the range of 30–60 minutes. Some may need longer.
• Metabolism: The liver primarily metabolises sildenafil via CYP450 enzymes, especially CYP3A4.
• Elimination: Sildenafil is cleared mainly through metabolism and later elimination of metabolites (primarily via faeces).
• Duration: Effects commonly last up to about 4 hours, though responses vary.

When it’s typically used (indications)

Fildena Extra Power is used for the treatment of erectile dysfunction in men. It may be prescribed/used when erections are not reliably achieved or maintained for sexual activity.

Typical dosing and how to take it

Always follow the dosing instructions provided with your product. The following general guidance explains common practice. If you have kidney or liver problems, take multiple medicines, or are older, your clinician may choose a lower starting dose.

Common starting approach

• Take only one dose per day.
• Many adults start with a lower dose to assess tolerance and effect. Depending on response and safety, dosage may be adjusted by a clinician.
• Do not exceed the maximum frequency as advised on your product information.

Practical timing

• Take the tablet about 30–60 minutes before planned sexual activity.
• If you don’t get the expected effect, timing and food intake can be relevant (see “Food interactions” below).
• Effects may persist for up to 4 hours; plan accordingly.

How to swallow

• Swallow with water.
• Use the tablet as directed; do not crush or alter unless the product packaging specifically allows it.

Food interactions (including high-fat meals)

Food can affect how quickly sildenafil is absorbed. Taking sildenafil with a heavy or high-fat meal may delay onset and reduce how fast you feel the effect.

• Best for timing: Take it on a relatively empty stomach if you want faster onset.
• If taken with a meal: Allow more time before sexual activity.
• High-fat meals: may significantly slow absorption.

Alcohol and medicine interactions

Alcohol

Alcohol can worsen erectile dysfunction for many people by affecting arousal, blood flow, and sexual performance. Moderate drinking may be tolerated, but heavier alcohol intake increases the chance of reduced effectiveness and side effects such as dizziness or flushing.

• Consider limiting alcohol when using sildenafil.
• Avoid driving or operating machinery if you feel dizzy.

Medicines that must be avoided (very important)

Some medicines can cause dangerous interactions with sildenafil. Do not use sildenafil if you take:

• Nitrates (for angina/chest pain), such as glyceryl trinitrate (GTN) and isosorbide preparations
• Riociguat (for certain types of pulmonary hypertension)

Combining these can lead to a potentially severe drop in blood pressure. If you’re unsure whether a medicine contains nitrates, check with a pharmacist.

Common interaction categories

Sildenafil is metabolised in the liver, so medicines that affect liver enzymes may change sildenafil levels. These include:

• Strong CYP3A4 inhibitors (can increase sildenafil levels), such as some antifungals (e.g., ketoconazole) and certain antibiotics/antivirals.
• Alpha-blockers (used for prostate enlargement or blood pressure). Some combinations may increase dizziness/low blood pressure. Stabilisation on an alpha-blocker first may be needed.
• Other blood pressure–lowering medicines: may increase the risk of dizziness.
• Other PDE5 inhibitors: do not combine.

Provide your full list of medicines (including over-the-counter products and herbal supplements) to a healthcare professional to check compatibility.

Safety profile and side effects

Like all medicines, Fildena Extra Power can cause side effects. Many are mild to moderate and resolve on their own. However, some symptoms require urgent attention.

Common side effects

• Headache
• Flushing (warmth/redness of the skin)
• Indigestion or stomach discomfort
• Nasal congestion
• Dizziness
• Vision changes (for example, mild blurring or a bluish tinge) in some people

Less common but serious side effects (seek medical help)

• Chest pain or symptoms of a heart problem
• Fainting or severe dizziness
• Allergic reaction (swelling of the face/lips, rash, difficulty breathing)
• Sudden vision loss or severe eye pain
• Sudden hearing loss or ringing in the ears
• Prolonged erection (priapism) lasting more than 4 hours (this is an emergency)

Who should use caution?

Use extra caution and seek advice if you have any of the following:

• Significant heart or circulation problems
• Very low blood pressure
• Recent stroke or heart attack
• Severe liver impairment
• Severe kidney impairment
• An eye disease called non-arteritic anterior ischaemic optic neuropathy (NAION) (history)
• Conditions that predispose to prolonged erections (some blood disorders, penile anatomical issues)

Practical use tips for better results

• Give it the right time: try taking it 30–60 minutes before intimacy, adjusting for your food intake.
• Start with calm and stimulation: because sildenafil needs sexual stimulation to work effectively.
• Check your meal: avoid very heavy/high-fat meals close to dosing if you want quicker onset.
• Manage alcohol: limit alcohol to improve reliability and reduce dizziness.
• Don’t overuse: taking more than recommended doesn’t reliably “work faster” and increases side effects risk.
• Plan for first-time learning: many men need to try a couple of occasions to find the best timing.

Alternative options

If sildenafil is not suitable or doesn’t provide adequate results, several alternatives may be available depending on your health and preferences. Options can include:

• Other PDE5 inhibitors: such as tadalafil or vardenafil (different onset/duration profiles).
• Lifestyle support: addressing smoking, weight, exercise, sleep, and stress.
• Psychological support: performance anxiety and relationship factors can contribute to ED.
• Medical assessment for underlying causes: diabetes, blood pressure issues, cholesterol, testosterone concerns, and medication-related ED.
• Other ED treatments (for selected individuals): vacuum erection devices, penile injections, or other approaches.

Your best alternative depends on why ED is happening and what medicines you’re already taking.

Market and legal context in Australia (patient-friendly overview)

Medicines containing sildenafil are regulated in Australia. The legal availability of ED medicines depends on whether they are supplied through appropriate healthcare channels and comply with Australian regulatory requirements. Australian consumers should ensure they purchase from sources that follow applicable laws and provide genuine products.

To support safe use, reputable pharmacies will provide clear product information, appropriate supply processes, and delivery options compliant with local requirements. If you are unsure about authenticity or regulatory status, ask a pharmacist for guidance.

Recent guidance and practical updates (what matters for patients)

ED medicine safety messaging has consistently emphasised:

• Avoiding dangerous combinations (especially nitrates and riociguat)
• Being cautious with cardiovascular risk and seeking medical assessment when heart disease is present
• Monitoring for visual or hearing symptoms and treating prolonged erections as emergencies
• Considering drug interactions due to liver metabolism (CYP3A4-related interactions)

Guidance for patients also often highlights the importance of reliable sourcing and appropriate dosing rather than trial-and-error at higher doses.

Delivery and availability (Australia)

Online pharmacies may offer delivery within Australia. Availability can vary depending on stock and product range. Typical delivery information includes:

• Dispatch times (e.g., same day to a few business days, depending on the supplier)
• Delivery estimates based on location (metro vs. regional areas)
• Packaging that may protect privacy and product integrity

When ordering, check the retailer’s delivery policy for tracking, estimated times, and return/refund terms. If the product packaging or labelling looks unusual, do not use it—contact the supplier.

FAQ

1) How long does Fildena Extra Power take to work?

Many people notice effects in about 30–60 minutes. If taken after a heavy or high-fat meal, it may take longer. The medication may help for up to around 4 hours, but responses vary.

2) Can I take it with food?

Yes, but heavy/high-fat meals may delay the onset. For faster timing, consider taking it with less food or on a relatively empty stomach.

3) Can I drink alcohol while using sildenafil?

Alcohol can reduce sexual performance and increase side effects like dizziness. If you choose to drink, keep it moderate and avoid activities that require alertness if you feel unwell.

4) What medicines should not be combined with sildenafil?

Do not use sildenafil with nitrates (for angina) or riociguat. Also be cautious with alpha-blockers and medicines that affect liver enzymes (especially CYP3A4 inhibitors). If you’re unsure, ask a pharmacist.

5) What if it doesn’t work for me?

Several factors can influence results: timing, meal size, alcohol intake, stress/anxiety, and underlying medical causes. If it’s not working after adjusting timing and lifestyle factors, consider speaking to a healthcare professional about an assessment and possible alternative treatments.

6) Is Fildena Extra Power safe for older men?

Many older adults can use sildenafil, but they may be more sensitive to blood pressure changes and side effects. A lower starting approach is often considered in practice, especially if there are other medical conditions or medications.

7) What should I do if I get chest pain?

Stop sexual activity and seek urgent medical attention. Sildenafil itself is not a treatment for heart problems, and chest pain can signal serious issues.

8) Can I use more than one dose in a day?

Follow the dosing limits provided with your product information. Do not exceed the recommended maximum frequency. Taking extra doses increases risk of side effects without reliably improving effectiveness.

9) Are there any situations where I should avoid sildenafil?

Avoid sildenafil if you take nitrates or riociguat, and use caution if you have severe cardiovascular disease, uncontrolled low blood pressure, severe liver or kidney impairment, or certain eye conditions. When unsure, consult a pharmacist or healthcare professional.

10) What are the most common side effects?

Common side effects include headache, flushing, indigestion, nasal congestion, and dizziness. If side effects are severe or persistent, seek medical advice.

When to seek urgent care

Please seek urgent medical care if you experience:

• Chest pain, fainting, or severe dizziness
• Shortness of breath, swelling of the face/lips, or signs of an allergic reaction
• Sudden vision loss or severe eye pain
• Sudden hearing loss
• An erection lasting longer than 4 hours (priapism)

If you have concerns about your suitability for sildenafil, discuss them with a pharmacist or healthcare professional. They can help review your medicines, medical history, and the safest way to use ED treatments.