Joshila 100 mg Tablet

Joshila 100 mg Tablet is a prescription medicine that contains 100 mg of sildenafil citrate in each tablet. It belongs to the phosphodiesterase type 5 (PDE5) inhibitor class and is used to help treat erectile dysfunction in adult men by improving blood flow to the penis during sexual stimulation. This specific Joshila 100 mg Tablet is a higher-strength option, so it is meant for men a doctor has already evaluated and decided need the 100 mg dose.

How it works: Sildenafil citrate in Joshila 100 mg Tablet relaxes blood vessels in the penis by blocking the PDE5 enzyme, which helps more blood flow in during sexual arousal. Because it is a tablet, it is swallowed and then absorbed through the digestive system before it starts working.

Joshila 100 mg Tablet is stronger than Joshila 50 mg Tablet, so it is not usually the first strength tried. A doctor may choose Joshila 100 mg when a lower dose has not worked well enough or when a patient has been assessed as likely to need the higher strength, but it should not be used just to get a faster or stronger effect.

• Erectile dysfunction
• Difficulty getting an erection
• Difficulty keeping an erection
• Adult men only, when prescribed
• On-demand use before sexual activity

• Swallow Joshila 100 mg Tablet whole with water; do not crush, split, or chew unless your doctor says otherwise.
• Take it about 30 to 60 minutes before sexual activity, or exactly as your prescriber directed.
• Do not take more than one Joshila 100 mg Tablet in 24 hours.
• A heavy or high-fat meal can delay how quickly it works, so an empty stomach may help it start sooner.
• Sexual stimulation is still needed for the medicine to work.
• Use only the tablet strength your doctor prescribed; Joshila 100 mg Tablet is a higher-strength option and is not for casual use.

Each Joshila 100 mg Tablet provides 100 mg of sildenafil citrate. It is usually taken only once per day at most, and the exact dose and timing are decided by the doctor based on response and safety. Do not take extra tablets to make it work better or more quickly.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Sildenafil Citrate may include:

• Headache
• Flushing
• Upset stomach or indigestion
• Nasal congestion
• Dizziness
• Blurred vision or color tinge changes
• These effects may be more noticeable with the 100 mg strength

• Do not use Joshila 100 mg Tablet with nitrates or nitric oxide donors, because the combination can cause a dangerous drop in blood pressure.
• Tell your doctor if you have heart disease, recent stroke, low blood pressure, or a history of serious rhythm problems before using this higher strength.
• Avoid heavy alcohol use, which can worsen dizziness and lower blood pressure.
• Use caution when driving or operating machinery until you know how Joshila 100 mg Tablet affects you, especially at 100 mg.
• Do not combine it with other PDE5 inhibitors or erectile dysfunction medicines.
• People with kidney or liver problems may need a different dose, so this strength should be used only with medical guidance.
• Get urgent care if you have an erection that lasts longer than 4 hours or any chest pain during sexual activity.

• Nitrates such as nitroglycerin or isosorbide
• Alpha-blockers used for blood pressure or prostate symptoms
• Other PDE5 inhibitors or ED medicines
• Riociguat
• Strong CYP3A4 inhibitors such as ritonavir, ketoconazole, or clarithromycin

Store Joshila 100 mg Tablet in its original strip or box at room temperature, away from moisture, heat, and direct light.