Fildena Super Active, containing sildenafil citrate, is prescribed for:

• Treatment of erectile dysfunction (ED) in adult males by enhancing blood circulation to penile tissues
• Management of pulmonary arterial hypertension (PAH) under the brand name Revatio, approved for both male and female patients to improve exercise tolerance

Dosage and Administration Protocol

For Erectile Dysfunction:

• Recommended administration: 30-60 minutes prior to anticipated sexual activity
• Optimal therapeutic window: Effective for 4-6 hours post-ingestion
• Maximum dosing frequency: Strictly limited to once per 24-hour period
• Administration note: Sexual stimulation remains essential for pharmacological effect

For Pulmonary Hypertension:

• Standard regimen: Three divided doses daily (approximately every 4-6 hours)
• Critical requirement: Maintain precise dosing intervals as prescribed
• Compliance: Essential to continue treatment even during symptom-free periods

Critical Safety Precautions

Absolute Contraindications:

• Concomitant use with any nitrate-containing medications including:
  • Anti-anginal preparations (nitroglycerin, isosorbide formulations)
  • Recreational alkyl nitrites ("poppers")
• Concurrent therapy with riociguat (Adempas) due to potentially life-threatening hypotension

Emergency Situations Requiring Immediate Medical Intervention:

• Priapism: Painful erection persisting beyond 4 hours (risk of permanent tissue damage)
• Sudden-onset visual disturbances or vision loss
• Cardiovascular symptoms during sexual activity including:
  • Chest pain or pressure
  • Radiating discomfort to arms, neck, or jaw
  • Severe dizziness or nausea

Comprehensive Safety Guidelines

Drug Interactions:

• Mandatory disclosure of all concurrent medications including:
  • Alpha-blockers
  • Antihypertensives
  • CYP3A4 inhibitors/inducers
  • Other phosphodiesterase inhibitors

Storage Specifications:

• Temperature maintenance: 15-30°C (59-86°F)
• Protection from:
  • Moisture exposure
  • Direct sunlight
  • Extreme temperature fluctuations

Patient Education Points:

• Therapeutic expectation management:
  • Does not enhance libido
  • Requires psychosexual stimulation
• Lifestyle considerations:
  • Avoid high-fat meals before administration
  • Limit alcohol consumption
  • Cease tobacco use

Monitoring Requirements:

• Regular cardiovascular assessment for at-risk patients
• Ophthalmic evaluation for patients reporting visual changes
• Periodic medication efficacy review

Important Notice: This medication may induce significant hypotension in susceptible individuals. Patients must undergo thorough cardiovascular evaluation prior to initiation of therapy. Any deviation from prescribed regimen requires immediate medical consultation.