FILITRA 40

In some cases, standard dosages of PDE5 inhibitors may be insufficient to combat severe erectile dysfunction. FILITRA 40 is a medication with an enhanced dosage of the active ingredient Vardenafil (40 mg), designed for men who require more powerful support.

What is FILITRA 40 and its indication?

FILITRA 40 is a generic based on Vardenafil with a double dosage (40 mg). The standard maximum daily dose of Vardenafil is 20 mg.

This medication is intended exclusively for men who:

1. Have a severe degree of erectile dysfunction (ED).

2. Did not achieve an adequate response from the standard 20 mg dose of Vardenafil.

3. Have a high body mass, which may require a dosage adjustment.

FILITRA 40 is not intended for first-time use of Vardenafil.

Mechanism of action of Vardenafil (40 mg)

The mechanism of action of FILITRA 40 is identical to the standard dose but is more pronounced. Vardenafil is a highly selective inhibitor of the PDE5 enzyme. During sexual arousal, it helps relax the smooth muscles of the blood vessels in the penis, causing a powerful inflow of blood to the corpus cavernosum. This ensures the achievement and maintenance of a firm erection sufficient for sexual intercourse.

Important Note: The drug works only in the presence of sexual stimulation. It does not cause arousal on its own.

Instructions for using FILITRA 40: Special warnings

Due to the high dosage, the rules for taking FILITRA 40 require special attention.

1. Starting Dose: Never start with a full 40 mg tablet! This is dangerous. If you have not taken Vardenafil before, start with 1/4 of a tablet (10 mg).

2. Recommended Dose: For most men already familiar with Vardenafil, the recommended dose is 20 mg (half of a FILITRA 40 tablet).

3. Taking a Full Tablet (40 mg): A 40 mg dose is taken only in extreme cases, upon a doctor's recommendation, and only if the 20 mg dose was well-tolerated but did not produce the desired effect.

4. Maximum: 40 mg is the absolute maximum dose within a 24-hour period.

5. Time of Intake: The tablet should be swallowed with water, 30-60 minutes before sex.

6. Food: Very high-fat meals can delay the onset of the drug's action.

Critical contraindications for FILITRA 40

The risks associated with a double dose are increased. Taking FILITRA 40 is strictly prohibited:

• Concurrently with Nitrates! (Nitroglycerin, isosorbide dinitrate, etc.). This combination can cause a fatal drop in blood pressure.

• Concurrently with nitric oxide donors (including "poppers").

• For severe heart conditions (recent heart attack/stroke, unstable angina, heart failure).

• For severe liver or kidney failure.

• For arterial hypotension (blood pressure < 90/50 mmHg).

• For hereditary retinal diseases (retinitis pigmentosa).

• For allergies to Vardenafil.

Side effects at the 40 mg dose

It must be understood that the likelihood and severity of side effects with FILITRA 40 are higher than with 20 mg.

• Common: Headache (the most common effect), facial flushing, nasal congestion, dyspepsia (upset stomach).

• Less Common: Dizziness, back pain, visual changes (very rare for Vardenafil).

• Serious (require immediate help): Priapism (painful erection lasting longer than 4 hours), sudden vision or hearing loss.

Professional advice for taking FILITRA 40

1. Savings and Safety: The most sensible use of FILITRA 40 is to buy the tablets for splitting. By dividing one 40 mg tablet, you get two standard maximum doses of 20 mg, which is significantly more economical.

2. Don't Double the Risks: If you are taking 40 mg, be especially cautious with alcohol. Although Vardenafil is considered more compatible with alcohol than Sildenafil, a high dose of the drug combined with alcohol can lead to severe dizziness and a drop in blood pressure.

3. Assess the Need: Do not chase the dosage. If 20 mg (half a FILITRA 40 tablet) gives you an excellent result, there is absolutely no reason to take 40 mg and subject your body to unnecessary strain.

FILITRA 40: Answers to common questions

• Who really needs a 40 mg dose? This dose may be considered for men with a very high body mass (over 120 kg / 265 lbs) or with severe, insulin-dependent diabetes, where standard doses are often ineffective. But even in these cases, starting with 20 mg is necessary.

• Does FILITRA 40 prolong sexual intercourse? No. FILITRA 40 (Vardenafil) is only for treating erectile dysfunction. It does not affect the time to ejaculation. For that purpose, there are medications with Dapoxetine.

• How long does FILITRA 40 last? The duration of action does not depend on the dose. Like 20 mg, 40 mg of Vardenafil lasts an average of 4-6 hours. The dose affects the strength of the erection, not the duration of the window of effectiveness.