Survey of the headic
Viagra Extra Dosage refers to formulations of sildenafil at doses higher than the common 25-100 mg range. It is a phosphodiesterase type 5 inhibitor used to treat erectile dysfunction in adult men by supporting the physiological response to sexual stimulation. For guidance on administration, see the section on Proper method for taking and dosing directions. If you want to check health conditions that forbid use, jump to Avoid using if.
Main pharmacologically active ingredient and its purposes
The principal active ingredient is sildenafil.
Primary use: management of erectile dysfunction in adult males. This product is intended to aid erectile response during sexual arousal. Use for athletic performance, altitude tolerance, or other non-approved purposes is off-label and should only be considered with expert medical advice.
Accessible strengths
High-dose sildenafil products labeled as "extra dosage" are sold in several strong tablet sizes. Examples that have been offered in markets include:
- 200 mg
- 150 mg
- 130 mg
- 120 mg
Standard sildenafil tablets also come in lower strengths such as 25 mg, 50 mg, and 100 mg. Dose selection should be individualised and supervised by a clinician.
The the mechanism in question and operation
Sildenafil inhibits the enzyme phosphodiesterase type 5, which increases cyclic GMP in the smooth muscle of the corpus cavernosum during sexual stimulation. The result is improved blood flow to the penis that helps achieve and maintain an erection. The medicine will not cause an erection without sexual arousal.
Dosing and administration directions
Only take Viagra Extra Dosage under medical supervision. Swallow the tablets and wash them down with water. Meals, particularly those high in fat, can delay how quickly the drug begins to work.
- Timing: Typically taken 30 to 60 minutes before intercourse; some individuals may notice effects within 30 minutes and benefit for up to 4 hours.
- Frequency: Do not use more than once in any 24-hour period.
- Effect: Requires sexual stimulation to produce an erection; it does not act as an aphrodisiac.
Usual starting doses for sildenafil are 50 mg as needed, with adjustments to 25 mg or 100 mg depending on response and tolerance. Because extra-dose tablets can exceed these ranges (for example 120 to 200 mg), dosing decisions should be made by a prescriber to avoid excessive exposure and increased side effects. If you miss a planned dose and still intend to have sexual activity, take the dose when you remember but do not double up within 24 hours.
For further questions about taking this medicine, consult your clinician and read the Safety guidelines to follow to remember.
Secure digital storage enables saving files on disks, drives, or in the cloud.
- Recommended data storage solutions include cloud storage, hard drives, and optical media. around 25 degrees C; short-term variations between 15 and 30 degrees C are acceptable.
- Keep tablets dry, away from excessive heat and direct sunlight. Storage facility in bathrooms is prohibited.
- Keep this item out of reach of children and pets.
Please avoid employing if
You should not take this medicine in the following situations:
- Known allergy to sildenafil or any other ingredient in the tablet.
- If a clinician has advised against sexual activity because of serious heart disease.
- If you are using any form of nitrates, including nitroglycerin or isosorbide medicines.
- If you take recreational inhaled nitrites, commonly called poppers.
- If you are already on another PDE5 inhibitor or a product that contains sildenafil.
If any of these apply to you, contact a healthcare professional before taking the medicine.
Please inform your doctor beforehand.
Before you proceed sildenafil, inform your prescriber if you:
- Use any prescription or non-prescription medicines, vitamins, or herbal remedies.
- Have known allergies to medications or excipients.
- Have penile abnormalities such as Peyronie disease or conditions that increase the risk of priapism like sickle cell disease, leukemia, or multiple myeloma.
- Have previously had a prolonged erection exceeding 4 hours.
- Have eye disorders including retinitis pigmentosa or recent vision changes, or have hearing impairment.
- Have hepatic, renal, or significant pulmonary disease, bleeding disorders, or vascular problems.
- Have had a heart attack, stroke, serious arrhythmia, or unstable angina within recent months, or have severe uncontrolled blood pressure.
Medication the act of connecting with others related risks
Several medicines can alter sildenafil levels or increase risks. Examples include:
- Alpha-blockers, antihypertensive agents, nitrates or nitroprusside: combined use can produce marked drops in blood pressure.
- Strong CYP3A4 inhibitors such as ritonavir, saquinavir, ketoconazole, itraconazole, erythromycin, or cimetidine: may elevate sildenafil concentrations.
- Enzyme inducers like rifampin or bosentan: may reduce sildenafil exposure and effectiveness.
- Certain antibiotics and opioids may also interact; always check with a pharmacist or prescriber.
The list is not comprehensive. Request a consultation your healthcare professional before starting, stopping, or changing any medicines. See also documents Essential safety measures to keep in mind.
Necessary safety tips
- Loss of balance sensation, drowsiness, blurred vision, or fainting can occur, especially when combined with alcohol or interacting drugs. Do not drive or operate machinery until you know how you react.
- Heat, exercise, fever, and alcohol may increase the likelihood of feeling faint or lightheaded. Stand up slowly from sitting or lying positions.
- If you experience chest pain, severe shortness of breath, sudden weakness, slurred speech, or other signs of heart attack or stroke, seek emergency assistance immediately.
- A prolonged painful erection lasting more than 4 hours requires urgent medical treatment to prevent permanent damage.
- Sildenafil does not prevent sexually transmitted infections or pregnancy. Use condoms or other contraception as appropriate.
- Stop the medicine and seek urgent care if sudden vision loss or sudden hearing decrease occurs.
- Do not blend with other treatment other selections for erectile dysfunction unless directed by a physician.
- Minors and adolescents under 18 should not use sildenafil for ED.
Additional effects that may occur
Many users have mild or no deleterious health effects. Commonly reported symptoms include:
- Pain in the head or red face
- Gastric distress or gastroesophageal reflux symptoms
- Nasal stuffiness or congestion
- Loss of balance sensation
- Loose stools or diarrhea
Seek immediate medical help if you notice:
- Severe allergic signs such as hives, swelling of the face, lips or throat, or breathing difficulty
- Chest pain, fainting episodes, or an irregular heartbeat.
- Sudden significant hearing loss or persistent ringing in the ears
- Sudden vision loss or a marked decrease in vision in one or both eyes
- Neurological signs such as one-sided weakness, numbness, or seizures
- A painful erection with duration exceeding four hours.
If you have persistent or troubling symptoms not listed here, contact your healthcare provider.
Other options and similar medications
There are other treatment choices that may be more appropriate depending on your needs, comorbidities, and preferences:
- Tadalafil (Cialis) - longer lasting, up to about 36 hours; available for on-demand use or as a lower-dose daily regimen.
- Avanafil also marketed as Spedra - may act faster for some people and is available on the soil of Australia.
- Vardenafil (Levitra) - similar to sildenafil with some differences in onset and food the exchange that happens when people meets with others are the core of collaboration..
- Standard sildenafil tablets in 25, 50, or 100 mg strengths that are often sufficient without resorting to extra-high doses.
Non-oral options include vacuum erection devices and local therapies like alprostadil injections or urethral suppositories; these require training and specialist supervision.
For dosing comparisons and timing between options, refer to Take as directed: dosage directions.
Price guide in AUD
Prices depend on brand, pharmacy, pack size, and whether you use telehealth bundles. The following are approximate ranges for community pharmacies in Australia (non-PBS for ED):
- Generic sildenafil 100 mg, pack of 4: around AUD 15 to 35; branded Viagra 4-pack: roughly AUD 60 to 100.
- Tadalafil 20 mg, pack of 4: generics about AUD 25 to 50; branded Cialis roughly AUD 70 to 120.
- Avanafil aka Spedra 100-200 mg, pack of 4: typical range AUD 80 to 140.
- Vardenafil 20 mg, pack of 4: availability is variable; if stocked expect around AUD 70 to 120.
Some online Australian telehealth providers offer combined consultation and medicine supply packages at different prices. Always choose services registered in Australia and dispensed by an Australian-registered pharmacy.
Australian the law and its accessibility memo
- Sourcing: Sildenafil for erectile dysfunction is a Prescription Only medicine (Schedule 4) in Australia and requires a valid prescription from an authorised prescriber.
- PBS: Erectile dysfunction indicators are generally not subsidised by the Pharmaceutical Benefits Scheme. Different indicators such as pulmonary arterial hypertension follow separate rules.
- Telehealth: Clinically appropriate prescriptions can often be issued through telehealth consultations by registered practitioners.
- Personal importation: Under the TGA Personal Import Scheme, individuals may import up to a three month supply for personal use with a valid prescription, subject to border controls.
- Online safety: Beware of websites offering prescription medicines without a prescription. Use Australian-registered pharmacies and confirm credentials.
- Sporting considerations: Sildenafil is not on the World Anti-Doping Agency prohibited list at present, but athletes should check with Sport Integrity Australia coupled with their sport's medical advisers.
- Driving and machinery: If you experience dizziness, fainting, or vision disturbances, do not drive or operate heavy machinery. See Safety guidance for safe operation see the details section for more the information.
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