Fildena Super Active is a brand name for the drug sildenafil citrate. It is used for treating erectile dysfunction (ED) and benign prostatic hyperplasia (BPH) in men.
Before taking Fildena Super Active, you need to understand what this medication is, how it helps ED, and who can take it. This article expands further into all of these.
Read on to learn more!
Fildena Super Active is commonly used to treat erectile dysfunction (ED) and benign prostatic hyperplasia (BPH) in men. It contains sildenafil citrate, a phosphodiesterase 5 (PDE5) inhibitor. The same ingredient is present in another popular ED medication, Viagra.
Fildena Super Active comes in the form of soft gel capsules. This form makes it easier to swallow as it disintegrates readily once consumed.
Erectile dysfunction is a common condition where afflicted men cannot sport an erection long enough to finish sexual intercourse. It is a topic of great distress and taboo in some men.
Fildena Super Active causes an erection by relaxing the smooth muscles in the penis and increasing blood flow. As a result, it allows the erection to last longer.
Fildena Super Active is produced by Fortune Health, a large pharmaceutical company based in India.
Fildena Super Active comes in 100 mg soft gel capsules. There are ten soft gels per strip. This soft gel form makes it easier to swallow, especially for those who have difficulty swallowing pills.
It is much more effective as the time required to dissolve the capsules is less than other types of tablets.
For ED, you should use Fildena Super Active only when needed. Its main use is to help maintain an erection long enough for sexual intercourse when required. The maximum dose is one pill per day.
It takes about 30 to 60 minutes for Fildena Super Active to work. Sometimes it can take a bit longer, almost 2 hours. So if you’re a first-time user, it is advisable to remain patient and wait for the drug to work.
However, Fildena Super Active can only work if you are sexually stimulated. This medication does not act as a sexual stimulant, so it will not cause an erection on its own.
The effects of Fildena Super Active last for 3 to 4 hours. This is enough time for sexual intercourse to finish.
Fildena Super Active costs $0.75 to $0.83 per tablet. This rate is less than other more expensive drugs of the same active ingredient, like Viagra.
The key ingredient of Fildena Super Active, sildenafil citrate, originated as a potential heart medicine back in 1989. It was developed to treat high blood pressure and angina.
The discovery that it could induce erections in ED patients was accidental. However, it changed the course of treatment for erectile dysfunction.
The formula for sildenafil was patented in 1996 and approved for use by the FDA in 1998. The company Pfizer produced and sold it from then on.
In 2019, the patent expired. Other companies could start producing the drug using the same formulation but at a lower cost. Fortune Health started making Fildena Super Active following the end of this patent.
Fildena Super Active is for men unable to support erections long enough to have sex. It is also used to treat benign prostate hyperplasia. It is a prescription-only medicine. So it is necessary for you to first get checked by your doctor.
Your doctor will first assess if you have any underlying health conditions or if you’re under any medications that could lead to interactions with Fildena Super Active and cause side effects. If everything is okay, they may prescribe Fildena Super Active to you.
Fildena Super Active is safe to take by most men. However, it should be avoided or used with caution in patients with heart conditions.
Like most other medications, Fildena Super Active has its own side effects. This is because it acts on the body as a whole and not just on one system.
One of the most common causes of the side effects of Fildena Super Active is misusing this drug and taking it more than the recommended dose.
Here are some of the common side effects of Fildena Super Active:
- Abnormal vision
- Back pain
- Muscle pain
- Nasal congestion
- Vision Loss
Some drugs can interact with Fildena Super Active and cause some side effects.
It is important to tell your doctor beforehand if you are taking any of these drugs. Their interaction with Fildena Super Active can range from simple to dangerous ones.
Most of these are the same in other PDE5 inhibitors too. So if you are taking any of these medications, you will not be able to consume other PDE5 inhibitors as they all have a similar mechanism of action.
Some of the medications that may interact with Fildena Super Active include:
Nitrates are normally prescribed for angina and coronary artery disease. Fildena Super Active may interact with nitrates and cause a rapid drop in blood pressure, causing symptoms like dizziness, fainting, etc.
Fildena Super Active can react with anti-hypertensive medications like alpha-blockers, angiotensin-converting enzyme (ACE) inhibitors, calcium channel blockers, and angiotensin II receptor blockers. Taking them together can cause severe hypotension.
Fildena Super Active can react with guanylate cyclase stimulators and cause a rapid drop in blood pressure. These include drugs like riociguat, commonly used to treat pulmonary hypertension.
Fildena Super Active can interact with any form of alcohol. Their interaction can exacerbate the risk of side effects such as headaches, dizziness, low blood pressure, and increased heart rate.
Antacids can reduce the rate at which Fildena Super Active is absorbed by the body. This could lead to a slowing down of its performance. Antacids include Alternagel, Amphojel, Alka-Seltzer, Tums, Magnesium hydroxide, Gaviscon, Gelusil, Maalox, Mylanta, Rolaids, and others.
The metabolization of Fildena Super Active occurs in the liver due to an enzyme called CYP3A4. Drugs like ritonavir, ketoconazole, itraconazole, erythromycin, etc. are the ones that inhibit CYP3A4.
These drugs can interact with Fildena Super Active, causing a delay in removing the latter from the body. The medication then stays in the bloodstream for a longer duration and can cause more side effects.
Unlike CYP3A4 inhibitors, the inducers of CYP3A3 can prolong the activity of the said enzyme. Thus, they can cause the effects of Fildena Super Active to last for a shorter duration of time with much less pronounced effects. CYP3A4 inducers include rifampin, carbamazepine, phenytoin, and phenobarbital.
Fildena Super Active is contraindicated in some groups of people, such as those with:
- Severe heart disease or heart valve failure
- NAION or ‘crowded’ optic disc
- Retinitis pigmentosa
- A history of allergy or hypersensitivity to Fildena Super Active
- A history of priapism
- Severe kidney disease
- Certain blood disorders (hemophilia, leukemia, and sickle-cell anemia)
The main ingredient of Fildena Super Active is sildenafil citrate. It is a phosphodiesterase type 5 (PDE5) inhibitor.
The human body contains many kinds of PDE enzymes. The PDE5 exists in corpora cavernosum, platelets, skeletal muscles, and vascular, and visceral muscles. It is most predominantly active in the penis.
When a man is sexually excited, nerve stimulations occur in the pelvic region. Following this, nitric oxide (NO) release occurs in and around the penile arteries and cavernous smooth muscles.
Nitric oxide causes an increase in cyclic guanosine monophosphate (cGMP). This leads to relaxation of the penile smooth muscles and corpus cavernosum and increases the blood flow to the penis. As a result, an erection occurs.
These blood vessels are affected and cannot work properly in most cases of ED.
Furthermore, in a person having ED, PDE5 inhibits the action of cGMP, causing poor relaxation of the penile muscles. This leads to deficient blood flow into the penile structures making it difficult to get an erection.
Hence, Fildena Super Active inhibits the PDE5 enzyme and helps in causing and maintaining an erection long enough to have sexual intercourse.
However, sexual stimulation is essential for this medicine to work. Without proper stimulation, Fildena Super Active will not be able to do its job.
Many studies have demonstrated the safety and effectiveness of sildenafil, the generic form of Fildena Super Active [1, 2]. However, studies on Fildena Super Active itself are limited. Most companies simply copy the generic formulas of the already long-established drugs. This becomes possible once their patents expire, which makes it easier for drugs to be manufactured by many companies at once.
Many other medications can treat ED. Some of these use the same active ingredient as Fildena Super Active. Others may have various components, but have a similar mechanism of action.
Following the expiry of the patent over sildenafil, other companies started producing this drug using the same formula.
Some of them may be cheaper, while some are more expensive. However, they all contain the same compound and dose in the end.
Drugs of other brands that work the same as Fildena Super Active include:
- Avanafil (Avaforce, Stendra, Avana)
- Mirodenafil (Mvix)
- Sildenafil (Viagra, Cenforce, Kamagra, P-Force, Vygex, & more)
- Tadalafil (Cialis, Adcirca, Vidalista, Tadacip, Forzest, & more)
- Udenafil (Zydena)
- Vardenafil (Levitra, Staxyn, Vilitra, Zhewitra, Savitra, & more)
There are some herbs and nutrients that may also treat ED. However, these lack sufficient evidence and scientific research.
If you are hesitant to try medications such as sildenafil, these herbs could be a good alternative to try first. If the herbal formulations do not work for you, you can give prescription medications a try.
Here are some of the herbs that may help to treat ED:
Horny goat weed (Epimedium spp.) — Contains the active ingredient icariin, inhibits PDE5, similar to Fildena Super Active, and helps treat ED .
Catuaba (Trichilia catigua or Erythroxylum Catuaba) — Studies show it can help ED and impotence .
Zinc — Zinc deficiency may be a cause of sexual dysfunction in some men. So taking zinc can help increase testosterone and improve sexual dysfunctions .
L-Arginine — L-Arginine is a precursor for nitric oxide. Taking them as supplements can help increase their levels and induce an erection .
In most countries, you need to get a prescription from a doctor to buy Fildena Super Active. You must first get a proper checkup from a certified doctor to confirm your diagnosis.
Once your diagnosis is confirmed, you may be prescribed this drug. You can then buy it online or from local pharmacies near you. Buying it online may be a better idea as it is both discreet and convenient.
- Langtry, H. D., & Markham, A. (1999). Sildenafil. Drugs, 57(6), 967-989.
- Kaplan, S. A., & Gonzalez, R. R. (2007). Phosphodiesterase type 5 inhibitors for the treatment of male lower urinary tract symptoms. Reviews in urology, 9(2), 73.
- Shindel, A. W., Xin, Z. C., Lin, G., Fandel, T. M., Huang, Y. C., Banie, L., … & Lue, T. F. (2010). Erectogenic and neurotrophic effects of icariin, a purified extract of horny goat weed (Epimedium spp.) in vitro and in vivo. The journal of sexual medicine, 7(4), 1518-1528.
- Lim, P. H. (2017). Asian herbals and aphrodisiacs used for managing ED. Translational andrology and urology, 6(2), 167.
- Dissanayake, D. M. A. B., Wijesinghe, P. S., Ratnasooriya, W. D., & Wimalasena, S. (2009). Effects of zinc supplementation on the sexual behavior of male rats. Journal of human reproductive sciences, 2(2), 57.
- Moody, J. A., Vernet, D., Laidlaw, S., Rajfer, J., & Gonzalez-Cadavid, N. F. (1997). Effects of long-term oral administration of L-arginine on the rat erectile response. The journal of urology, 158(3), 942-947.