Viagra Extra Dosage: Advanced Erectile Dysfunction Therapy
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| Product dosage: 25mg | |||
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| Product dosage: 50mg | |||
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Synonyms | |||
Similar products
Viagra Extra Dosage represents a specialized formulation within the phosphodiesterase type 5 (PDE5) inhibitor class, designed for men with erectile dysfunction (ED) who have demonstrated suboptimal response to standard-dose sildenafil citrate therapy. This higher-strength option provides a potent pharmacological approach to achieving and sustaining erections sufficient for satisfactory sexual activity. It is indicated for use in adult males and requires a comprehensive medical evaluation prior to prescription to ensure appropriate patient selection and mitigate associated risks. Clinical efficacy is well-documented in populations with moderate to severe ED, offering a tailored solution where lower doses prove insufficient.
Features
- Active pharmaceutical ingredient: Sildenafil citrate
- Available dosage strengths: 150 mg and 200 mg film-coated tablets
- Rapid onset of action, typically within 30–60 minutes post-administration
- Duration of efficacy persists for up to 4–6 hours
- Requires sexual stimulation for therapeutic effect
- Administration is oral, with or without food (though high-fat meals may delay absorption)
Benefits
- Provides a robust erectile response in patients previously non-responsive to standard 50 mg or 100 mg sildenafil dosing
- Enhances confidence and reduces anxiety related to sexual performance through reliable pharmacological support
- Facilitates the restoration of spontaneous sexual activity and intimacy within stable relationships
- Offers flexibility in timing due to its predictable pharmacokinetic profile
- Supported by extensive clinical data demonstrating high rates of intercourse success
- Contributes to overall improvement in quality of life and relationship satisfaction
Common use
Viagra Extra Dosage is prescribed for the treatment of erectile dysfunction in adult males. It is specifically utilized in cases where patients have not achieved a satisfactory clinical response with the maximum standard dose of sildenafil (100 mg). The medication works by inhibiting phosphodiesterase type 5, thereby increasing cyclic guanosine monophosphate (cGMP) levels in the corpus cavernosum. This promotes smooth muscle relaxation and facilitates inflow of blood, resulting in an erection when combined with sexual stimulation. It is not indicated for use in women, children, or adolescents.
Dosage and direction
The recommended starting dose for Viagra Extra Dosage is 150 mg, taken approximately 30–60 minutes prior to anticipated sexual activity. Based on efficacy and tolerability, the dose may be increased to a maximum of 200 mg or decreased to 100 mg under medical supervision. The medication should not be taken more than once per 24-hour period. Administration may occur with or without food; however, high-fat meals can delay time to maximum plasma concentration and reduce peak concentration. Sexual stimulation is requisite for the drug to produce an erection. Dose adjustment is necessary in patients aged over 65, those with hepatic impairment (Child-Pugh class A and B), severe renal impairment (creatinine clearance <30 mL/min), and those taking concomitant CYP3A4 inhibitors.
Precautions
Prior to initiating therapy, a thorough medical history and physical examination should be conducted to diagnose ED, identify potential underlying causes, and assess cardiovascular health. Patients with cardiovascular disease—including unstable angina, heart failure, recent myocardial infarction, or life-threatening arrhythmias—should be evaluated for safety regarding sexual activity. Use with caution in patients with anatomical deformation of the penis, predisposition to priapism, bleeding disorders, active peptic ulceration, or retinitis pigmentosa. Avoid excessive alcohol consumption, as it may increase risk of orthostatic hypotension. Visual disturbances, including non-arteritic anterior ischemic optic neuropathy, have been reported; discontinue use if sudden vision loss occurs.
Contraindications
Viagra Extra Dosage is contraindicated in patients with a known hypersensitivity to sildenafil or any excipient in the formulation. Concomitant use with organic nitrates or nitric oxide donors in any form is strictly prohibited due to the risk of profound hypotension. It is also contraindicated in patients using guanylate cyclase stimulators such as riociguat. Individuals with severe hepatic impairment, severe hypotension, recent stroke, or myocardial infarction should not use this medication. It must not be administered to women or individuals under 18 years of age.
Possible side effect
Common adverse reactions include headache, flushing, dyspepsia, nasal congestion, and dizziness. Visual disturbances such as blurred vision, cyanopsia, and photophobia may occur. Less frequently, patients may experience back pain, myalgia, nausea, or rash. Serious side effects include priapism, sudden hearing loss, cardiovascular events, and severe hypotension. Should an erection persist beyond 4 hours, immediate medical attention is required to avoid permanent tissue damage.
Drug interaction
Sildenafil is primarily metabolized by CYP3A4 and to a lesser extent by CYP2C9. Concomitant use with strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, ritonavir) increases sildenafil exposure—dose reduction is mandatory. Alpha-blockers may potentiate hypotensive effects; simultaneous administration is not recommended. Grapefruit juice may increase plasma concentrations and should be avoided. Caution is advised with other antihypertensives. Avoid use with other PDE5 inhibitors.
Missed dose
Viagra Extra Dosage is taken on an as-needed basis; there is no scheduled dosing regimen. If a dose is missed, it may be taken when remembered, provided it is not too close to the next intended sexual activity. Do not double the dose to make up for a missed administration.
Overdose
In cases of overdose, standard supportive measures should be employed. Expected effects align with the drug’s vasodilatory properties and may include severe hypotension, syncope, and prolonged erection. Priapism requires urgent urological intervention. Hemodialysis is not effective due to high protein binding.
Storage
Store at room temperature (15–30°C) in the original container to protect from light and moisture. Keep out of reach of children and pets. Do not use after the expiration date printed on the packaging.
Disclaimer
This information is intended for educational purposes and does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before starting any new medication or changing your treatment plan. Do not disregard or delay seeking medical advice based on content herein.
Reviews
“After standard doses failed, my physician recommended Viagra Extra Dosage. The difference was remarkable—consistent results and restored confidence.” — Patient, 54
“As a urologist, I reserve this for select patients with demonstrated need. When used appropriately, it is a valuable tool in managing refractory ED.” — Dr. Evans, MD
“Noticeably effective but with more pronounced flushing. A small trade-off for reliability.” — Patient, 61
“Requires careful patient selection and counseling, but outcomes in non-responders are clinically significant.” — Clinical Study Report
“The higher dose made intimacy possible again after years of frustration.” — Patient, 58