Erectile dysfunction is a common problem among men. It can happen to men at any age, but it’s much more common in older generations (over 50).
The most popular treatment for erectile dysfunction is Viagra, but the cost of using this medication can be prohibitive.
Fildena contains the same active ingredient as Viagra, but at a fraction of the cost.
In this article, we’ll cover everything you need to know about Fildena before you order it. We’ll explore how this drug works, how much it costs, what side effects to expect, and where to buy some for yourself.
What is Fildena?
Fildena is a generic form of Viagra — which means it’s made from the same active ingredient (sildenafil), but made by an aftermarket manufacturer.
Viagra is the best-selling erectile dysfunction medication on the market. It’s made by the American pharmaceutical company Pfizer.
Fildena is used as a treatment for erectile dysfunction, and a cheaper alternative to Viagra. It’s made by a company called Fortune Healthcare Pvt Ltd.
This company is based out of India, and specialize in making various other generic ED medications, including:
- Filagra (sildenafil)
- Siltrate (sildenafil)
- Tadalista (tadalafil)
- Filagra EXT (sildenafil & fluoxetine)
- Filagra DXT (sildenafil & duloxetine)
How Generic Drugs Work
Whenever a drug manufacturer invents a new drug, they submit a patent to protect the company from the competition.
When a patent expires, the drug becomes public domain, which allows any company to begin manufacturing identical versions of the drug — called a generic medication. Drugs made by the original manufacturer are referred to as brand name medications.
Drug patents acknowledge the new medication as intellectual property owned by the company that invented it. It ensures exclusive rights for that company alone to make and sell the drug. This gives the manufacturer a chance to earn profit from their efforts in creating the drug — which often requires several million dollars of investment before it reaches the public.
The cost of developing new drugs is very expensive because it requires years of animal testing, clinical trials, and approval applications before it’s deemed safe by the FDA and other regulatory bodies. Then millions more are spent to advertise the new drug.
Drug patents last 20 years from the date of application. If it takes another 5 years to develop the drug, when it finally becomes available to the public, the manufacturer only has 15 more years of protection left on its patent.
When the patent expires, many different drug manufacturers will apply for approval from the local regulators to manufacture the drug. These companies don’t need to recoup the hundreds of millions of dollars that went into developing the medication, so they can charge significantly less than the original manufacturer.
This is why generic medications, like Fildena, are so much cheaper than brand name versions, such as Viagra, despite having the exact same ingredients.
What’s the Dose of Fildena?
Fildena is an exact replica of Viagra and comes in the same dosages. When generic drugs are made, they need to contain the same dosages as the original, otherwise, the manufacturer is required to conduct their own clinical testing to prove a new dosage is both safe and effective.
Fildena comes in the following dosages:
- 25 mg per tablet
- 50 mg per tablet
- 100 mg per tablet
Most doctors will recommend the 50 mg tablet to start, and either increase to 100 mg or decrease to 25 mg tablets depending on how the body responds. The higher dosages have a stronger impact, but also bring a higher risk of side effects. If the 50 or 25 mg dose is effective, it’s better to stick to these lower doses, rather than going straight for the strongest tablet.
Never take more than one tablet per day.
How Long Does Fildena Last?
Fildena lasts an average of 3 hours but can last up to 6 hours. Some people report improvements in the status of their erection up to 24 hours after first taking the pill.
The drug requires around 30 to 60 minutes to take effect so you should take the medication about an hour before you plan on engaging in sexual intercourse.
The Cost of Fildena — Cheap Viagra Alternative
Fildena is very cheap compared to the brand name version of the drug — Viagra.
Each tablet costs between 77 and 86 cents depending on how many you buy at a time. Higher volume orders offer the best price per tablet.
In comparison, Viagra costs roughly $70 per tablet, when ordered in packs of 10. Higher volumes are available, but the price remains well over $50 per tablet even with high volumes.
Other generic forms of sildenafil cost between $5 and $10 per tablet — so Fildena is one of the cheapest forms of Viagra available.
Is Fildena Safe? Cautions & When To Avoid
There are no studies available that specifically look at the safety profile of Fildena, but there’s plenty of research on the active ingredient — sildenafil [1 – 4]. Fildena tablets contain the exact same doses of sildenafil as used in medical research.
Sildenafil is generally regarded as safe, but there are a few side effects to be on the lookout for. Additionally, the drug may be contraindicated (not safe for use) if you’re using certain medications or have specific underlying medical conditions. Due to these potential risks, Fildena, and all forms of sildenafil, are available by prescription only.
Your doctor will weigh the risk to benefit ratio of using the drug and assess any potential underlying health issues or drug interactions that could make the drug unsafe to use.
Side Effects of Fildena Include:
- Headaches (21% of users)
- Flushing (19% of users)
- Indigestion (9% of users)
- Vision Loss (2% of users)
- Nasal Congestion (4% of users)
- Back Pain (4% of users)
- Dizziness (4% of users)
- Nausea (3% of users)
- Rash (2% of users)
- Muscle Pain (2% of users)
Fildena Drug Interactions
Certain drugs will interact with Fildena and could cause severe side effects. The most dangerous combination is blood pressure medications and nitrates. Most ED medications will react negatively to these drugs, which could lead to a dramatic drop in blood pressure, dizziness, confusion, and fainting.
Potential drug interactions with Fildena include:
- Antihypertensives (ACE inhibitors, Alpha-blockers, Beta-blockers, Nitrates, etc.)
- Guanylate Cyclase (GC) Stimulators
- CYP3A4 Inhibitors (ritonavir, ketoconazole, itraconazole, erythromycin, and others)
- CYP3A4 Inducers (rifampin, carbamazepine, phenytoin, phenobarbital, grapefruit juice, and others)
- Antacids (magnesium hydroxide and others)
- Other PDE5 Inhibitors (Viagra, Cialis, Levitra, etc.)
Who Should Avoid Using Fildena?
Some patients will be denied a prescription for sildenafil because of underlying health issues or other medications.
A few examples include:
- Patients taking medications to manage blood pressure or heart disease
- Alcoholics not receiving treatment
- Patients with uncontrolled high or low blood pressure
- Patients with retina disorders such as NAION
- Patients with liver or kidney disease
- Anybody with sensitivity to sildenafil or Viagra
- Patients with a history of priapism
How Does Fildena Work?
The active ingredient in Fildena, sildenafil, is classified as a PDE5 inhibitor. This means it inhibits a specific enzyme known as phosphodiesterase type 5.
PDE5 is just one of several enzymes in its class, responsible for breaking down cyclic GMP (cGMP) — which is a chemical messenger that tells blood vessels to dilate or widen. When the blood vessels widen it allows more blood to flow through at a time, and the pressure of the blood drops.
Different phosphodiesterase enzymes can be found all over the body. PDE5, in particular, is most abundant in the penis, as well as the pulmonary arteries and the eye.
Blocking PDE5 allows cGMP to build up in the arteries supplying blood flow to the penis. This causes the blood vessels to dilate and allows blood to flow into the corpora cavernosa (erectile tissue) — which results in an erection.
Fildena doesn’t induce an erection but can reduce the threshold needed to form and maintain an erection. A man still needs to be aroused before an erection can form. This is why foreplay is also an important step a man should take when treating erectile dysfunction.
Fildena is just one of many erectile dysfinction treatment options. This particular drug is available by prescription only, and has to be ordered online if you live in the United States, Europe, or Australia. You won’t find this particular drug at your local pharmacy.
There are a few options to consider for other prescription ED medications — most of which work through the exact same mechanism (PDE5 inhibition).
Other Prescription ED Medication Alternatives:
Natural Fildena Alternatives
If you’re unable to get a prescription for Fildena or prefer a more natural approach to treating erectile dysfunction, there are several key products worth considering. Some fo the herbs in these formulas work in a similar way as Fildena (such as epimedium), while others target separate processes — such as supporting testosterone levels, increasing nitric oxide production, reducing stress and anxiety, or promoting overall cardiovascular function.
Natural Formulations for ED:
Herbal Extracts & Nutrients for ED:
- Korean Red Ginseng (Panax ginseng)
- Tribulus (Tribulus terrestris)
- Yohimbe (Pausinystalia johimbe)
- Muira puama (Ptychopetalum olacoides)
- Catuaba (Trichilia catigua)
- Horny Goat Weed (Epimedium spp.)
What Causes Erectile Dysfunction
Erectile dysfunction is diagnosed when a man is unable to achieve or maintain an erection long enough to engage in sexual intercourse.
It’s common for all men to experience problems achieving an erection occasionally, especially during periods of high stress or anxiety.
If erectile dysfunction persists, it could be a sign of other problems, like cardiovascular disease, diabetes, depression, and more.
There are many potential causes for erectile dysfunction, the most common examples include:
- Alcohol consumption
- Depression or mood disorders
- Heart disease
- High blood pressure
- High cholesterol
- Low testosterone levels
- Neurological disorders such as Parkinson’s disease
- Peyronie’s disease
- Relationship problems
- Side effects of drugs or medications
- Side effects of smoking
- Sleep disorders
- Spinal cord injuries
- Stress & anxiety
Where to Buy Fildena in 2020
Fildena is not available at local pharmacies in the US or Europe. You need to order this medication online.
None of the big box pharmacies sell this drug either, such as CVS, Walmart, or Walgreens. The company that makes the drug, Fortune Healthcare Pvt Ltd, is very small compared to many other generic sildenafil manufacturers, and the company has a much smaller reach.
Fortune Healthcare Pvt Ltd products are exclusive to Asia and parts of Africa, and there are few products for sale in the United States of Europe.
You can order Fortune Healthcare Pvt Ltd products — such as Fildena and Tadalista — from online pharmacies and have it shipped to your address.
Make sure you submit a copy of your prescription when ordering Fildena, and have a copy on-hand. If your package is stopped at customs, you will need to submit the prescription in order to have the medications released. If a prescription isn’t provided within 30 days, the contents of the package will be destroyed.
- Meyer, J. P., Gillatt, D. A., Lockyer, R., & Macdonagh, R. (2003). The effect of erectile dysfunction on the quality of life of men after radical prostatectomy. BJU international, 92(9), 929-931.
- Goldstein, I., Lue, T. F., Padma-Nathan, H., Rosen, R. C., Steers, W. D., & Wicker, P. A. (1998). Oral sildenafil in the treatment of erectile dysfunction. New England Journal of Medicine, 338(20), 1397-1404.
- Derry, F., Hultling, C., Seftel, A. D., & Sipski, M. L. (2002). Efficacy and safety of sildenafil citrate (Viagra®) in men with erectile dysfunction and spinal cord injury: a review. Urology, 60(2), 49-57.
- Morales, A., Gingell, C., Collins, M., Wicker, P. A., & Osterloh, I. H. (1998). Clinical safety of oral sildenafil citrate (Viagra TM) in the treatment of erectile dysfunction. International Journal of Impotence Research, 10(2), 69-73.