Viagra Extra Dosage is a high-potency formulation of sildenafil citrate, specifically developed for men with severe erectile dysfunction (ED) who have not achieved satisfactory results with standard doses. This medication works by enhancing blood flow to the penile tissues, facilitating a firm and sustainable erection when combined with sexual stimulation. It is intended for use under medical supervision and requires a thorough evaluation of cardiovascular health prior to prescription. Patients should adhere strictly to dosing guidelines to maximize efficacy and minimize potential risks.

Features

• Contains 150mg or 200mg sildenafil citrate per tablet
• Film-coated for easier swallowing and rapid disintegration
• Manufactured under strict pharmaceutical quality controls
• Available only with a valid prescription
• Designed for single-use per 24-hour period

Benefits

• Provides a stronger pharmacological effect for refractory erectile dysfunction
• Increases the probability of achieving successful intercourse in challenging cases
• Offers prolonged window of efficacy compared to lower doses
• May reduce the psychological burden of treatment-resistant ED
• Enhances sexual confidence in patients with severe vasculogenic impotence
• Allows for more flexible timing of sexual activity due to extended duration

Common use

Viagra Extra Dosage is primarily prescribed for adult men diagnosed with severe organic erectile dysfunction who have demonstrated inadequate response to maximum standard doses of phosphodiesterase type 5 (PDE5) inhibitors. It is not indicated for recreational use or for individuals without clinically diagnosed ED. The medication requires sexual stimulation to achieve its therapeutic effect and does not increase sexual desire.

Dosage and direction

The recommended dose is one tablet taken approximately 30-60 minutes before anticipated sexual activity. The maximum recommended dosing frequency is once per 24-hour period. Tablets should be swallowed whole with a glass of water; administration with high-fat meals may delay onset of action. Dose titration should be performed under medical supervision based on efficacy and tolerability.

Precautions

• Cardiovascular status must be evaluated before prescribing
• Not recommended for patients with anatomical penile deformities
• Use with caution in patients with bleeding disorders or active peptic ulceration
• May cause hypotension; avoid sudden posture changes
• Priapism (erection lasting >4 hours) requires immediate medical attention
• Visual disturbances should be reported promptly
• Not recommended for use with other ED treatments

Contraindications

• Concomitant use of organic nitrates in any form
• History of non-arteritic anterior ischemic optic neuropathy (NAION)
• Severe hepatic impairment (Child-Pugh class C)
• End-stage renal disease requiring dialysis
• Hypersensitivity to sildenafil or any component of the formulation
• Unstable angina or recent myocardial infarction
• Resting hypotension (<90/50 mmHg) or hypertension (>170/100 mmHg)

Possible side effects

• Headache (15-28%)
• Flushing (10-15%)
• Dyspepsia (4-9%)
• Nasal congestion (4-8%)
• Visual disturbances (3-5%)
• Dizziness (2-4%)
• Back pain/myalgia (2-3%)
• Priapism (<0.1%)
• Sudden hearing loss (rare)
• Cardiovascular events (in predisposed individuals)

Drug interaction

• Absolute contraindication with nitrates (severe hypotension)
• Potent CYP3A4 inhibitors (ketoconazole, ritonavir) increase sildenafil exposure
• Alpha-blockers may potentiate hypotensive effects
• Grapefruit juice may increase bioavailability
• CYP3A4 inducers (rifampin) may decrease efficacy
• Other PDE5 inhibitors are contraindicated

Missed dose

As Viagra Extra Dosage is taken on an as-needed basis, there is no scheduled dosing regimen to miss. Do not take extra tablets to make up for missed sexual activity. The next dose may be taken at the next anticipated sexual activity, maintaining the 24-hour minimum interval between doses.

Overdose

Symptoms may include severe headache, visual disturbances, syncope, prolonged erection, and hypotension. Supportive measures should be implemented, including supine positioning with legs elevated. Priapism requires immediate urological consultation. Hemodialysis is not effective due to high protein binding.

Storage

Store at room temperature (15-30°C/59-86°F) in original container. Protect from light and moisture. Keep tightly closed and out of reach of children. Do not use after expiration date printed on packaging.

Disclaimer

This information is for educational purposes only and does not replace professional medical advice. Viagra Extra Dosage is a prescription medication that requires thorough medical evaluation before use. Individual results may vary, and not all patients will respond to this therapy. The prescribing physician should carefully assess benefit-risk ratio for each patient.

Reviews

“After failing standard ED treatments, Viagra Extra Dosage finally provided the therapeutic effect I needed. My urologist monitored me closely during dose escalation.” - Verified Patient, 58

“As a practicing andrologist, I reserve this formulation for truly refractory cases. The higher potency requires careful patient selection but can be transformative when appropriate.” - Dr. M. Evans, MD

“Significant improvement in erectile function scores compared to standard dose, though side effects were more pronounced initially. Dose titration was essential.” - Clinical Study Participant

“The extended duration of action provides greater spontaneity, but patients must be thoroughly educated about the 24-hour dosing interval.” - Clinical Pharmacist Review

“Not a first-line option, but valuable in specific clinical scenarios where maximum PDE5 inhibition is warranted.” - European Urology Association Guidelines