Breast Feeding
DangerousIt is not recommended to take Sildigra XL Plus 150 mg while breastfeeding as it is not known whether it passes into the breast milk.
(Sildenafil Citrate)
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Sildigra XL Plus 150 mg is a high strength anti erectile dysfunction medicine used to achieve & maintain an erection. It contains Sildenafil improves blood flow to the penis by inhibiting PDE5 enzyme. Sildigra XL Plus 150mg tablet must be taken once a day with a glass of water with or without food & as per the prescription given by the doctor due to its high strength.
Sildigra XL Plus 150 mg is a prescription medicine used for erectile dysfunction in adult men or Assigned Males at Birth (AMAB). It contains Sildenafil, a Phosphodiesterase type 5 (PDE-5) inhibitor works by preventing the breakdown of cGMP (cyclic guanosine monophosphate), a component that relaxes smooth muscles in the blood vessels. This help to promote blood flow supply to the penile area, Sildenafil citrate is the active ingredient contain in this medication was approved by FDA committee in the year 1998 at March 27 under the brand name Viagra for the treatment of erectile dysfunction.
Erectile dysfunction refers to the persistent inability of an individual to sustain a penile erection. ED can manifest due to several reasons, such as neural, hormonal, or vascular dysfunction, psychological issues, or post-surgery effects. This disease is notmall characterized by impaired arterial blood flow, reduced nitric oxide (NO) release, and early venous leakage. Sildigra XL Plus improves the blood flow in the penile tissues and provides prolonged erection and rigidity.
PAH consists of high blood pressure in the arteries caused by increased pulmonary vascular resistance, right ventricular strain, and failure. There might be an endothelial injury or dysfunction that decreases vasodilation and increases vasoconstriction. As a result, the pulmonary arteries remain narrowed continuously, which increases the blood pressure. Sildigra XL Plus improves vasodilation and reduces the pulmonary arterial pressure. This slows down the progression of PAH and reduces symptoms like dyspnea and fatigue.
Normally, the pulmonary arterial tension in fetuses is high due to contricted space. After the birth, as the lungs expand and the oxygen levels rise, the pulmonary arteries dilate. This transition is important for normal lung functioning. In pediatric PAH, this transition does not happen normally. As a result, the pulmonary arteries remain constricted and have higher blood pressure. Pediatric PAH can manifest as a result of several factors, such as developmental, genetic, chronic lung diseases, or congenital heart disease. In such cases, Sildigra XL Plus is an effective medication, but it must be strictly under medical supervision.
Recommended dose: 150 mg taken orally once, 30–60 minutes before sexual activity
Maximum limit: 150 mg per day
Important clinical information: Not intended for regular use; it must be used only before sexual activity.
Recommended dose: 100 mg taken orally once before sexual activity
Maximum limit: 150 mg per day
Important clinical information: This dose is intended for individuals who do not respond to the standard dose.
Recommended dose: 50-100 mg taken orally once before sexual activity
Maximum limit: 150 mg per day
Important clinical information: Due to diabetic endothelial dysfunction, higher doses might be required, as diabetic patients may not respond to the same dosing as non-diabetic patients.
Recommended dose: 50-150 mg taken orally once before sexual activity
Maximum limit: 150 mg per day
Important clinical information: These patients may require a higher recommended dose. However, the cardiovascular parameters must be monitored regularly.
Recommended dose: 25-50 mg taken initially. The dose might be increased to 100 mg if required.
Maximum limit: 150 mg per day
Important clinical information: Elderly patients may experience side effects at a higher rate compared to non-elderly patients
Recommended dose: 50-100 mg taken orally once before sexual activity
Maximum limit: 150 mg per day
Important clinical information: This dosing improves the erectile response; however, it does not help in the underlying psychological tissues.
Recommended dose: 50-100 mg taken orally once before sexual activity
Maximum limit: 150 mg per day
Important clinical information: Dosing is based on the nerve preservation post surgery. The medication is used as a part of penile rehabilitation protocols.
Recommended dose: 20 mg taken orally three times daily
Dosing for pediatrics:
Maximum limit: 60 mg per day
Important clinical information: High-dose formulations like those for ED are not appropriate for this indication.
Recommended dose: 25–50 mg taken orally once or twice daily
Maximum limit: 100 mg per day
Important clinical information: For Raynaud’s phenomenon, Sildigra is mainly used in refractory cases associated with connective tissue diseases.
Recommended dose: 50 mg taken orally every 8 hours during ascent
Maximum limit: 150 mg per day
Important clinical information: This is an off-label medication for HAPE, but it is supported by clinical evidence.
Recommended dose: 25–50 mg taken orally once daily
Maximum limit: 100 mg per day
Important clinical information: This dosing regimen is useful in patients with combined LUTS and erectile complaints.
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In human males, due to sexual stimulation, a chain of biochemical reactions is triggered in the penis. As a result, the nerve endings in the region release a chemical called nitric oxide (NO). NO activates guanylate cyclase, the enzyme responsible for regulating the levels of cyclic guanosine monophosphate (cGMP).
Guanylate cyclase increases the levels of cGMP in the smooth muscles of the penile blood vessels. This causes the blood vessels in the area to relax (vasodilation). As a result, more and more blood flows into the erectile tissue (corpus cavernosum) till the tissue becomes rigid. This blood flow leads to a sustained and rigid erection.
Under normal conditions, the enzyme phosphodiesterase type 5 (PDE-5) breaks down the cGMPs, reducing their effect in the corpus cavernosum, after a period of time. Hence, the erection weakens, and the penis reverts back to its normal state.
Sildigra XL Plus contains the drug sildenafil citrate. This drug blocks the PDE-5 enzyme, thus ensuring consistent blood flow in the smooth muscles of the erectile tissue. As high cGMP levels are maintained, the erection remains sustained till the effect of Sildigra XL Plus is present.
Sildigra XL Plus does not cause an erection on its own. It just helps sustain the present erection obtained after sexual stimulation by improving and sustaining the blood flow in the erectile muscle tissue.
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– > Nervous System Side Effects
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– > Auditory Side Effects
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– > Respiratory / ENT Side Effects
– > Dermatological Side Effects
– > Genitourinary Side Effects
Q. Does Sildigra XL Plus 150 mg work better than regular Sildenafil 100 mg?
Sildigra XL Plus does not work differently from Sildenafil 100 mg. The enhanced effect is simply observed due to the higher quantity of the drug in Sildigra XL Plus.
Q. Can Sildigra XL Plus be used daily?
No. Sildigra XL Plus is supposed to be consumed only occasionally before any sexual activity. For non-ED disorders, regular use must be prescribed by a doctor.
Q. Why do some patients not respond to the highest 150 mg dose of Sildenafil?
Some people may not respond to a Sildenafil 150 mg dose because of several reasons, such as severe endothelial dysfunction, advanced diabetes, significant nerve injury, or psychological inhibition.
Q. What happens if Sildigra XL Plus is taken more than once in 24 hours?
If Sildigra XL Plus is taken more than once in 24 hours, individuals can experience symptoms like severe hypotension, priapism, visual and auditory disturbances, and cardiovascular events.
Q. Can Sildigra XL Plus cause permanent vision loss?
There is no proof or reports about permanent vision loss due to sildenafil citrate. However, individuals can experience symptoms like transient color changes or blurred vision.
It is not recommended to take Sildigra XL Plus 150 mg while breastfeeding as it is not known whether it passes into the breast milk.
It is unknown whether it is safe to drink alcohol while taking Sildigra XL Plus 150 mg. Check with your doctor for advice.
Inform your physician if you have any liver disorders before taking Sildigra XL Plus 150 mg, as it should be used with caution in liver disorder patients.
Inform your doctor about lung issues and seek immediate medical help for new or worsening breathing problems while on Sildigra XL Plus 150 mg.
Sildigra XL Plus 150 mg can cause tiredness. Avoid driving if you are unwell.
It is not recommended to take Sildigra XL Plus 150 mg during pregnancy as it can harm the unborn baby. Women with childbearing potential should use effective contraceptives during treatment and for at least three weeks after treatment.
Sildigra XL Plus 150 mg can be taken with food to reduce stomach irritation. Taking it with meals may help improve absorption and reduce side effects.
Sildigra XL Plus 150 mg can be taken on an empty stomach for faster absorption. However, consult your doctor for the best timing based on your condition.
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