Generic Fildena CT (Sildenafil Citrate)

Introduction

Fildena CT is a tablet that contains the active ingredient sildenafil citrate, a phosphodiesterase-type 5 (PDE5) inhibitor. The product is supplied in a 100 mg dose and is classified among agents used to treat erectile dysfunction (ED) and pulmonary arterial hypertension (PAH). While its primary indication is ED, regulatory agencies also recognise its role in managing PAH under the same active compound. Occasionally clinicians employ the medication for off-label purposes such as the treatment of Raynaud’s phenomenon or certain forms of secondary hypertension, but such uses have not received formal approval.

What is Fildena CT?

• Definition - Fildena CT is a hard-tablet formulation that delivers 100 mg of sildenafil citrate per unit.
• Classification - It belongs to the class of PDE5 inhibitors, which mediate smooth-muscle relaxation by augmenting cyclic guanosine monophosphate (cGMP) signaling.
• Development history - Sildenafil citrate was first approved by the U.S. Food and Drug Administration (FDA) in 1998 for erectile dysfunction and later, in 2005, for pulmonary arterial hypertension.
• Manufacturer - The specific manufacturer of Fildena CT is not always disclosed on the packaging, but the product is produced in facilities that adhere to Good Manufacturing Practice (GMP) standards.

How Fildena CT Works

Sildenafil citrate selectively inhibits the PDE5 enzyme, which normally degrades cGMP in the corpus cavernosum and pulmonary vasculature. By blocking PDE5, cGMP accumulates, leading to relaxation of smooth muscle cells and vasodilation. In the penis, this permits increased blood inflow during sexual stimulation, producing an erection. In the pulmonary arteries, vasodilation reduces vascular resistance, improving hemodynamics in PAH.

• Onset of action - Clinical studies report noticeable effects within 30-60 minutes after oral ingestion.
• Duration of effect - Therapeutic activity typically persists for 4-5 hours, after which plasma concentrations decline rapidly due to hepatic metabolism via CYP3A4.

Conditions Treated with Fildena CT

1. Erectile Dysfunction (ED) - Sildenafil citrate enhances the erectile response by improving penile blood flow when sexual stimulation is present. Randomized controlled trials have demonstrated statistically significant improvements in International Index of Erectile Function (IIEF) scores compared with placebo.
2. Pulmonary Arterial Hypertension (PAH) - The same vasodilatory mechanism reduces pulmonary arterial pressure and improves exercise capacity, as measured by the six-minute walk test. FDA-approved formulations (e.g., Revatio) contain the identical active ingredient.

Both indications are supported by robust clinical data and are included in the product labeling approved by the FDA and the European Medicines Agency (EMA).

Off-Label and Investigational Uses of Fildena CT

• Raynaud’s phenomenon - Small pilot studies have reported that low-dose sildenafil improves digital blood flow and reduces vasospastic episodes. Evidence is limited and not sufficient for regulatory approval.
• High-altitude pulmonary edema - Some research suggests that sildenafil may attenuate hypoxia-induced pulmonary hypertension, but larger trials are needed.
• Benign prostatic hyperplasia (BPH)-related lower-urinary-tract symptoms - A handful of investigations have explored PDE5 inhibition for smooth-muscle relaxation in the prostate, showing modest symptom relief.

These applications remain off-label; they are not sanctioned by the FDA or EMA. Patients should discuss any off-label consideration with a qualified healthcare professional, as safety and efficacy have not been definitively established.

Is Fildera CT the Right Medication for You?

• Suitable patients - Adult men with clinically diagnosed erectile dysfunction who can achieve sexual stimulation, and adults diagnosed with PAH who have not responded adequately to other vasodilators.
• Recommended scenarios - Individuals seeking a rapid-onset treatment for intermittent sexual activity, or patients requiring an oral agent to lower pulmonary arterial pressure without invasive procedures.
• Contraindications - Known hypersensitivity to sildenafil citrate, concurrent use of nitrates (e.g., nitroglycerin), severe uncontrolled hypertension, recent history of stroke or myocardial infarction, and certain hereditary retinal disorders (e.g., retinitis pigmentosa). In such cases, alternative therapies should be considered.

Risks, Side Effects, and Interactions

Common

• Headache
• Facial flushing
• Indigestion or dyspepsia
• Nasal congestion
• Back-pain or muscle aches

These events are generally mild and resolve without intervention.

Rare

• Visual disturbances (e.g., blue-tinted vision, decreased acuity)
• Priapism (prolonged erection lasting > 4 hours)
• Sudden hearing loss

Patients experiencing any of these should seek prompt medical evaluation.

Serious

• Severe hypotension, especially when combined with nitrates or potent vasodilators
• Acute myocardial ischemia or arrhythmia in high-risk cardiovascular patients
• Anaphylaxis or severe allergic reaction

Any serious adverse event warrants immediate emergency care.

Drug-Drug and Drug-Food Interactions

• Nitrates - Co-administration can cause a dangerous drop in blood pressure.
• Alpha-blockers - May potentiate hypotensive effects; dose titration is required.
• CYP3A4 inhibitors (e.g., ketoconazole, erythromycin, protease inhibitors) - Increase sildenafil plasma levels, raising the risk of toxicity.
• CYP3A4 inducers (e.g., rifampin, carbamazepine) - Reduce exposure, potentially diminishing efficacy.
• Grapefruit juice - Inhibits CYP3A4 and may elevate drug concentrations.
• Alcohol - Excessive intake can exacerbate hypotension and impair judgment when operating machinery.

Use: Dosing, Missed Dose, Overdose

• Standard dosing - Start with 50 mg taken about one hour before sexual activity; the dose may be increased to 100 mg or decreased to 25 mg based on efficacy and tolerability. For PAH, the typical regimen is 20 mg three times daily, but the exact schedule should follow prescriber guidance.
• Missed dose - If a dose is omitted, take it as soon as remembered unless it is within 4 hours of the next scheduled dose; in that case, skip the missed dose to avoid double-dosing.
• Overdose - Symptoms may include severe headache, hypotension, chest pain, or visual changes. Overdose management is supportive; patients should seek urgent medical attention.
• Administration considerations - The tablet may be taken with or without food; a high-fat meal can delay onset by 30-60 minutes. Avoid operating heavy machinery or driving until you know how the medication affects you, especially when combined with alcohol.

FAQ

• What should I know about traveling with Fildena CT? When traveling internationally, keep the medication in its original packaging with a copy of the prescription (if required) and carry it in your hand luggage to avoid temperature extremes.

• How should Fildera CT be stored in hot climates? Store the tablets in a cool, dry place away from direct sunlight; temperatures above 30 °C may degrade the active ingredient over time.

• What does the tablet look like? Fildena CT tablets are typically blue-white, round, and imprinted with “100 mg” on one side. Inactive excipients may vary by manufacturer but usually include lactose, maize starch, and magnesium stearate.

• Does the medication interact with grapefruit juice? Yes. Grapefruit juice inhibits CYP3A4, potentially raising sildenafil levels and increasing the risk of side effects. It is advisable to limit grapefruit consumption while using Fildena CT.

• Can I take Fildena CT after a heavy meal? A high-fat meal can delay absorption, extending the time to onset by up to an hour. For optimal effect, consider taking the tablet on an empty stomach or after a light meal.

• Will Fildena CT show up on drug tests? Standard employment drug screens do not test for sildenafil citrate. However, specialized testing can detect the compound if specifically requested.

• Is it safe to use Fildena CT with antihypertensive medications? Concurrent use with alpha-blockers or certain calcium-channel blockers may amplify blood-pressure-lowering effects; dose adjustments and physician oversight are recommended.

• How long does the tablet remain effective after ingestion? Therapeutic activity usually persists for 4-5 hours, after which plasma concentrations decline rapidly. The window may be shorter in individuals with rapid metabolism.

• Can I take Fildena CT if I have mild liver disease? Mild hepatic impairment does not usually require dose modification, but severe liver disease may increase exposure; consultation with a healthcare professional is prudent.

• What is the difference between Fildena CT and brand-name Viagra? Both contain the same active ingredient (sildenafil citrate) at comparable strengths. Fildena CT is marketed as a generic formulation, often offered at a lower price point while meeting the same regulatory quality standards.

Glossary

PDE5 Inhibitor

A class of drugs that block the phosphodiesterase-type 5 enzyme, leading to increased cGMP levels and smooth-muscle relaxation.

cGMP (Cyclic Guanosine Monophosphate)

A second messenger that mediates vasodilation in response to nitric oxide; elevated by PDE5 inhibition.

Contraindication

A specific condition or factor that serves as a reason to withhold a particular medical treatment because it may be harmful.

Pulmonary Arterial Hypertension (PAH)

A progressive disease characterized by elevated pressure in the pulmonary arteries, leading to right-heart strain and reduced exercise capacity.

Buying Fildena CT from Our Online pharmacy

Fildena CT can be obtained safely through our online pharmacy. Our service offers several advantages for patients who face cost barriers, limited local availability, or privacy concerns.

• Affordable pricing - We source the medication directly from licensed international manufacturers, enabling prices that approach the product’s manufacturing cost.
• Verified quality - Every batch is inspected for compliance with GMP standards and verified by accredited quality-control laboratories before shipment.
• Discreet, reliable delivery - Packages are shipped in unmarked, secure envelopes, with delivery options ranging from express (approximately 7 days) to standard airmail (about 3 weeks).
• International access - As a pharmacy-broker service, we partner with overseas licensed pharmacies, granting patients access to medications that may not be stocked locally or covered by insurance.

Our platform prioritises patient privacy, secure transactions, and transparent communication, providing a trustworthy pathway to obtain Fildena CT when conventional pharmacy routes are inaccessible.

Disclaimer

The information presented about Fildena CT is intended for general educational purposes and does not substitute professional medical advice. All therapeutic decisions, including considerations of off-label use, must be made under the supervision of a qualified healthcare provider. Readers are presumed to be competent adult individuals capable of making informed health choices. Our online pharmacy supplies Fildena CT to persons who may encounter restricted access through conventional pharmacies, prescription-based insurance programs, or who seek cost-effective generic alternatives. Prior to initiating, altering, or discontinuing any medication, you should consult your physician.