Viagra Extra Dosage

Viagra Extra Dosage represents a specialized formulation designed for men with severe erectile dysfunction (ED) who have not achieved satisfactory results with standard-dose phosphodiesterase type 5 (PDE5) inhibitors. This higher-strength medication contains sildenafil citrate as its active pharmaceutical ingredient, delivered in an optimized concentration to address more pronounced vascular and neurological challenges associated with ED. It functions by enhancing blood flow to the corpus cavernosum, facilitating a firm and sustained erection when combined with sexual stimulation. Prescription-based and tailored to individual patient needs, Viagra Extra Dosage should only be used under strict medical supervision following a comprehensive cardiovascular and endocrine evaluation.

Features

• Active ingredient: Sildenafil citrate 150 mg or 200 mg (depending on formulation)
• Pharmaceutical class: Selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5)
• Onset of action: Approximately 30–60 minutes post-administration
• Duration of effect: Up to 4–6 hours
• Administration: Oral tablet, taken with or without food (though high-fat meals may delay absorption)
• Available by prescription only, following diagnostic confirmation of severe ED

Benefits

• Provides a therapeutic option for patients non-responsive to standard-dose ED medications
• Enhances the rigidity and duration of erections sufficient for satisfactory sexual activity
• Supports psychological well-being by restoring sexual confidence and intimate relationship dynamics
• Allows for spontaneity within the medication’s effective window
• Reduces anxiety related to sexual performance through reliable pharmacologic action
• Functions only with sexual stimulation, aligning with natural sexual response patterns

Common use

Viagra Extra Dosage is indicated for the treatment of erectile dysfunction in adult males. It is specifically reserved for cases where lower doses of sildenafil or other PDE5 inhibitors have proven ineffective. It is not intended for use by women, adolescents, or men without a clinical diagnosis of ED. The medication does not protect against sexually transmitted infections and is not a form of hormonal therapy or aphrodisiac.

Dosage and direction

The recommended starting dose is determined by a healthcare provider based on individual health status, concomitant medications, and prior response to ED therapy. Typically, one tablet is taken approximately 30–60 minutes before anticipated sexual activity. Dosage should not exceed one tablet within a 24-hour period. Tablets should be swallowed whole with a glass of water; splitting or crushing is not advised. Sexual stimulation is required for the medication to produce an erection.

Precautions

Prior to use, patients must disclose full medical history, especially concerning:

• Cardiovascular conditions such as angina, heart failure, or recent myocardial infarction
• History of stroke, hypotension, or hypertension
• Anatomical deformation of the penis (e.g., Peyronie’s disease)
• Blood cell disorders (e.g., sickle cell anemia, leukemia)
• Stomach ulcers or bleeding problems
• Liver or kidney impairment
• Retinal disorders (e.g., retinitis pigmentosa)

Avoid alcohol consumption, as it may increase the risk of hypotension and reduce efficacy. This medication may cause dizziness or visual changes; exercise caution when driving or operating machinery.

Contraindications

Viagra Extra Dosage is contraindicated in patients:

• Using any form of organic nitrates or nitric oxide donors (e.g., nitroglycerin, isosorbide mononitrate)
• With a known hypersensitivity to sildenafil or any component of the formulation
• With severe hepatic impairment or end-stage renal disease requiring dialysis
• Who have experienced non-arteritic anterior ischemic optic neuropathy (NAION) in the past
• With unstable cardiovascular disease for whom sexual activity is not recommended

Possible side effects

Common side effects may include:

• Headache
• Flushing
• Dyspepsia
• Nasal congestion
• Dizziness
• Visual disturbances (e.g., color tinge, blurred vision)

Less frequently reported effects:

• Back pain or myalgia
• Hearing loss or tinnitus
• Priapism (prolonged erection >4 hours)
• Syncope or pronounced hypotension

Seek immediate medical attention if chest pain, dizziness, or erections lasting more than 4 hours occur.

Drug interaction

Sildenafil is primarily metabolized by CYP3A4 and may interact with:

• Alpha-blockers (e.g., doxazosin) – risk of symptomatic hypotension
• CYP3A4 inhibitors (e.g., ketoconazole, ritonavir, erythromycin) – may increase sildenafil concentration
• CYP3A4 inducers (e.g., rifampin) – may reduce efficacy
• Antihypertensive agents – additive hypotensive effects
• Other PDE5 inhibitors – coadministration is strictly prohibited

Missed dose

Viagra Extra Dosage is not intended for regular scheduled use. It is taken on an as-needed basis. If a dose is missed, take it when remembered if sufficient time remains before sexual activity. Do not double the dose within 24 hours.

Overdose

In case of suspected overdose, seek emergency medical assistance immediately. Symptoms may include severe hypotension, syncope, prolonged erection, or visual disturbances. Supportive measures should be administered; hemodialysis is not expected to significantly enhance elimination.

Storage

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

Disclaimer

This information is intended for educational purposes and does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before starting any new medication or changing your treatment plan. Do not disregard or delay seeking medical advice based on content herein.

Reviews

“After standard doses failed, my urologist prescribed Viagra Extra Dosage. The difference was clear—I finally achieved the results I needed. Follow your doctor’s instructions carefully.” – Mark T., 58

“Effective but requires caution. I experienced mild flushing and headache, but the benefits outweighed the side effects. Not for everyone—must be used responsibly.” – James L., 62

“This formulation restored intimacy in my marriage after years of frustration. It’s strong, so medical supervision is essential.” – Robert K., 61