SUHAGRA 100 mg №4

What is SUHAGRA 100 mg No. 4?

SUHAGRA 100 mg No. 4 is a medicinal product for the symptomatic treatment of erectile dysfunction in adult men. The agent helps to achieve and maintain an erection sufficient for sexual intercourse, but it only works in the presence of sexual stimulation. The drug does not directly increase sexual desire and does not eliminate the psychological, hormonal, or vascular causes of erectile dysfunction. A doctor's consultation is required before use, as erectile dysfunction is sometimes an early sign of cardiovascular or endocrine diseases.

The drug is available in the form of oral tablets with a sildenafil dosage of 100 mg. The designation No. 4 usually means that the package contains four tablets, however, the configuration should be checked by the labeling of the specific package. SUHAGRA 100 mg No. 4 belongs to the pharmacological group of phosphodiesterase type 5 inhibitors, abbreviated as PDE-5. The manufacturer is the pharmaceutical company Cipla, and the drug is classified as a product based on sildenafil and generic analogues of the original erection drug.

The action of sildenafil is aimed at improving the blood filling of the corpora cavernosa of the penis during sexual arousal. The effect usually starts within 30–60 minutes, although the onset speed depends on food, concomitant diseases, and the individual response of the body. The duration of clinically significant action is often about four hours, but this does not mean a continuous erection throughout the entire period. SUHAGRA 100 mg No. 4 does not protect against sexually transmitted infections and is not a means of contraception.

What is SUHAGRA 100 mg No. 4 prescribed for?

The main indication is erectile dysfunction, which is the persistent or recurrent inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse. SUHAGRA 100 mg No. 4 can be used for erectile dysfunction of vascular, metabolic, neurological, or mixed origin after a medical examination. The drug is able to improve the erectile response, but it does not treat the root cause of the disease. In case of sudden onset of symptoms, decreased libido, pain, or deformation of the penis, separate diagnostics are required.

Sildenafil can be useful for men with concomitant diabetes mellitus, arterial hypertension, or stable cardiovascular diseases, if the doctor has deemed sexual activity and such treatment safe. Self-administration is unacceptable, especially in the presence of chest pain, shortness of breath, or significant fluctuations in blood pressure. Effectiveness depends on maintained sexual stimulation and correct timing of intake. If there is no result, do not take the tablet again on the same day or increase the dose on your own initiative.

SUHAGRA 100 mg No. 4 is not intended to increase sexual stamina in men without erectile dysfunction. The agent also does not treat premature ejaculation, infertility, or testosterone deficiency, although these conditions may coexist with erectile dysfunction. Comprehensive treatment may include body weight control, smoking cessation, correction of pressure, glucose, and lipids, and, if necessary, psychotherapeutic support. The feasibility of use is determined by a doctor after evaluating symptoms, concomitant medications, and risks.

Composition and active components of SUHAGRA 100 mg No. 4

The active component of SUHAGRA 100 mg No. 4 is sildenafil in a dose equivalent to 100 mg of sildenafil in one tablet, usually in the form of citrate salt. The substance selectively inhibits the PDE-5 enzyme, which breaks down cyclic guanosine monophosphate. Increasing the level of this signaling molecule promotes relaxation of smooth muscles and increased blood flow to the penis. The mechanism is activated by the natural release of nitric oxide during sexual stimulation, so without arousal, the expected effect may not occur.

Excipients shape the tablet, ensure its strength, stability, disintegration, and release of the active component. The composition of a specific series may include fillers, binders, disintegrants, glidants, and a coating, but the exact list must be verified with the official instructions on the package. Excipients do not provide the therapeutic effect of sildenafil, but they can be important in the presence of allergies or intolerance to certain sugars. In case of known hypersensitivity, the composition should be discussed with a doctor or pharmacist prior to intake.

Dosage of SUHAGRA 100 mg No. 4

The standard starting dose of sildenafil for most adult men is often 50 mg approximately one hour before planned sexual activity. Depending on efficacy and tolerability, the doctor may reduce the dose to 25 mg or increase it to a maximum single dose of 100 mg. SUHAGRA 100 mg No. 4 contains the maximum standard dosage, so it is not suitable for every patient as an initial option. Splitting the tablet is only allowed when permitted by its design and official instructions.

The drug is taken no more than once within 24 hours. Regular course intake on a fixed schedule is usually not required, as sildenafil is used as needed before sexual activity. The duration of treatment is determined individually with periodic assessment of efficacy, adverse reactions, and the state of the cardiovascular system. Doubling the dose does not increase the benefit predictably, but significantly increases the risk of undesirable events.

A reduction in the starting dose may be necessary for elderly patients, people with severe renal or hepatic impairment, as well as with the concomitant use of certain CYP3A4 inhibitors. In case of severe hepatic or renal insufficiency, the decision is made by the doctor after assessing the benefit-risk ratio. Do not combine SUHAGRA 100 mg No. 4 with other sildenafil preparations or agents of the PDE-5 inhibitor group. Any dosage adjustment must be carried out by a medical professional.

How to take SUHAGRA 100 mg No. 4 correctly?

The tablet is swallowed with water, approximately 30–60 minutes before sexual activity. Taking it on an empty stomach or after a light meal usually ensures a faster onset of action. Fatty and heavy food can slow down the absorption of sildenafil and delay its effect. Grapefruit and grapefruit juice can alter the metabolism of the drug, so their combination should be avoided.

Since SUHAGRA 100 mg No. 4 is used as needed, the concept of a missed dose usually does not apply to this regimen. If a planned intake did not take place, there is no need to compensate for it with two tablets later. In case of insufficient effect, check for the presence of stimulation, the time after eating, and the correctness of intake, and then consult a doctor. It must be taken into account that the individual response of the body may differ even with the same dose.

Before the first dose, a doctor's consultation is required with an assessment of the condition of the heart, blood pressure, and all concomitant medications. Sexual activity places a physical load, so in case of unstable angina or severe heart failure, it can be dangerous. Do not use tablets of unknown origin or with damaged packaging. If the regimen prescribed by the doctor differs from the general recommendations, the personal scheme must be followed.

Side effects of SUHAGRA 100 mg No. 4

The most common adverse reactions include headache, facial flushing, feeling of heat, nasal congestion, heartburn, nausea, and dizziness. Temporary visual disturbances are possible: blurriness, increased sensitivity to light, or a bluish tint to the vision. Such phenomena are often mild or moderate in nature and pass as the concentration of the drug decreases. The severity of reactions may be greater with a dose of 100 mg, alcohol consumption, or interaction with other drugs.

Palpitations, rapid heart rate, pressure fluctuations, vomiting, rash, muscle pain, drowsiness, ringing in the ears, or nosebleed occur uncommonly. Rare but dangerous conditions are severe allergic reaction, seizures, heart attack, stroke, sudden loss of hearing or vision. Immediate medical attention is required for chest pain, fainting, difficulty breathing, or a sharp deterioration in well-being. In case of chest pain, do not take nitrates on your own if sildenafil has already been used.

Priapism — a painful or prolonged erection lasting more than four hours — requires emergency treatment, as it can damage the tissues of the penis. In case of a sudden decrease in vision or hearing, stop taking the drug and seek urgent medical help. Even mild but repetitive side effects should be discussed with a doctor to review the dose. The individual response of the body is unpredictable, so it is advisable to plan the first intake in safe conditions.

Contraindications of SUHAGRA 100 mg No. 4

The combination of sildenafil with nitrates, nitric oxide donors, and guanylate cyclase stimulators is absolutely contraindicated, as a dangerous drop in blood pressure is possible. SUHAGRA 100 mg No. 4 is not used in case of hypersensitivity to the components, as well as when sexual activity is contraindicated due to a severe heart condition. A contraindication may be loss of vision due to a history of non-arteritic anterior ischemic optic neuropathy. Restrictions also apply to severe hypotension, unstable angina, and recently experienced severe cardiovascular events.

Caution is required in case of anatomical deformation of the penis, sickle cell anemia, multiple myeloma, leukemia, peptic ulcer disease, and bleeding disorders. Patients with retinal diseases, severe liver or kidney impairment, and unstable blood pressure require additional monitoring. For men taking alpha-blockers for prostate hyperplasia or hypertension, the dose is selected with particular caution. The complete list of contraindications must be clarified in the official instructions of the specific drug.

SUHAGRA 100 mg No. 4 is not intended for children and adolescents under 18 years of age. The drug has no indications for use by women, including during pregnancy and breastfeeding, within the scope of erectile dysfunction treatment. Older age in itself is not always a contraindication, however, concomitant diseases and slower elimination of the drug may require a lower starting dose. For older patients, a preliminary assessment of cardiovascular risk is especially important.

Interaction of SUHAGRA 100 mg No. 4 with other drugs and alcohol

Nitrates, nitrites, and riociguat are incompatible with sildenafil due to the risk of critical hypotension. Alpha-blockers and some antihypertensive agents can additionally lower blood pressure, causing weakness or dizziness. Ketoconazole, itraconazole, erythromycin, clarithromycin, ritonavir, and other strong CYP3A4 inhibitors can increase sildenafil concentration, while some enzyme inducers can weaken its effect. Before taking SUHAGRA 100 mg No. 4, the doctor must be informed about all prescription and over-the-counter medicines, herbal supplements, and erection drugs.

Alcohol does not always enter into a direct chemical interaction with sildenafil, but it can impair erection, worsen headache, dizziness, and blood pressure reduction. Significant amounts of alcohol on the day of intake should be avoided. Due to possible visual disturbances, drowsiness, or dizziness, one should not drive vehicles or work with mechanisms until the individual reaction becomes clear. If weakness or visual impairment occurs after intake, driving is dangerous.

Where to buy SUHAGRA 100 mg No. 4 in Ukraine

SUHAGRA 100 mg No. 4 should only be purchased in licensed pharmacies or verified pharmacy services that comply with the requirements for the sale of medicinal products. Availability, registration status, prescription conditions, and price may differ, so they must be clarified at the time of ordering. Upon receipt, check the integrity of the packaging, batch, expiration date, labeling of the manufacturer Cipla, and the presence of instructions. Delivery must ensure proper temperature conditions and protection of the packaging from moisture and damage.

Store the drug in its original packaging, in a dry place inaccessible to children, in accordance with the temperature specified by the manufacturer. Do not use tablets after the expiration date, in case of changes in their appearance, or violation of the blister integrity. A suspiciously low price, lack of labeling, or sale without pharmaceutical control may indicate a risk of falsification. Purchasing does not replace a doctor's consultation: before taking SUHAGRA 100 mg No. 4, it is necessary to evaluate contraindications, interactions, and individual response of the body.