The maximum dose for Fildena 25, used to treat ED, is 50 mg per day.

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If your doctor tells you to stop taking Fildena, or the tablets have passed their expiry date, ask your pharmacist what to do with any left over. Rarely men have lost eyesight sometime after taking drugs to treat erectile dysfunction (known as impotence). This can be one 25 mg tablet a day or one 50 mg tablet a day or one 100 mg tablet a day.
Are taking any medicines to treat high blood pressure in the vessels of the lungs (pulmonary arterial hypertension) including Tracleer (bosentan) or Revatio which also contains sildenafil. BECAUSE SEXUAL ACTIVITY MAY PLACE A STRAIN ON YOUR HEART, YOUR DOCTOR WILL NEED TO CHECK WHETHER YOU ARE FIT ENOUGH TO TAKE Fildena. Fildena is used to treat erectile dysfunction, more commonly known as impotence, in men http://myfildena.com/.

Use of sildenafil (Fildena) in patients with cardiovascular disease. Cardiac evaluation using treadmill test for ED patients before treatment with sildenafil citrate. Time dependent patient satisfaction with sildenafil for erectile dysfunction (ED) after nerve-sparing radical retropubic prostatectomy (RRP)
As the first effective oral treatment for ED, sildenafil clearly appeals to those patients seeking initial treatment. Physicians must consider the cardiovascular status of ‘at risk’ patients with vasculogenic ED and significant vascular risk factors prior to initiating any treatment for ED including sildenafil. 21 As such, the role of high dose salvage therapy is limited by patient acceptance of a higher incidence of adverse effects.
Adverse effects reflect the pharmacological action of sildenafil as a PDE-5 inhibitor and a weak PDE-6 inhibitor. Adverse effects were reported more frequently by participants in this study than by participants in the earlier studies although the adverse effect severity profile was similar. This parallels the experience of the Sildenafil Study Group who reported that only 43% of patients who had had RRP responded to sildenafil and suggested surgical damage to the cavernous nerves, with subsequent failure to activate the NO-cGMP pathway as the probable mechanism.
In 67 patients who did not respond satisfactorily to sildenafil, alprostadil ICI resulted in significant improvement in questions 3 and 4 of the IIEF inventory erectile function domain in 60 (89.6%) and 57 (85.1%) patients, respectively. 15 Shabsigh reported that although responses to questions 3 or 4 of the IIEF in patients treated with sildenafil were superior to placebo, responses did not differ in patients with organic, psychogenic or mixed ED. 13 McMahon et al have reported that sildenafil is less effective in patients with CVOD as opposed to patients with arteriogenic ED. They demonstrated an inverse relationship between the severity of CVOD as determined by the DICC parameter, flow-to-maintain (FTM), and the response to sildenafil, as judged by patient scores to IIEF erectile function domain questions 3 and 4. They concluded that only patients with mild CVOD and a FTM ?30 ml/min are likely to respond to sildenafil or combined sildenafil/ICI.
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