SILDIGRA BLACK FORCE 200 mg Tablet

SILDIGRA BLACK FORCE 200 mg Tablet is a prescription-strength erectile dysfunction medicine containing 200 mg of sildenafil citrate in each tablet. Sildenafil citrate belongs to the phosphodiesterase type 5 (PDE5) inhibitor class. It is used to help men with erectile dysfunction get and keep an erection when sexually aroused. SILDIGRA BLACK FORCE 200 mg Tablet is a high-strength tablet and should be used only if a clinician has determined that this dose is appropriate.

How it works: Sildenafil citrate works by increasing blood flow to the penis during sexual arousal. This tablet blocks PDE5, which helps relax blood vessels and makes it easier to achieve and maintain an erection.

SILDIGRA BLACK FORCE 200 mg Tablet is a higher-strength sildenafil tablet, so it is not the usual starting dose for most people. Doctors may choose this strength only for patients who have already been assessed and need a stronger option than lower-dose sildenafil tablets. Because it is a tablet, it is taken by mouth and does not act instantly; it still needs sexual stimulation to work.

• Erectile dysfunction (ED)
• Difficulty getting an erection
• Difficulty keeping an erection
• Use before planned sexual activity

• Swallow the SILDIGRA BLACK FORCE 200 mg Tablet whole with water.
• Take it about 30 to 60 minutes before sexual activity, unless your doctor gives different instructions.
• Do not take more than one tablet in 24 hours.
• A high-fat meal can delay how quickly sildenafil starts to work.
• This tablet only works with sexual stimulation; it does not cause an erection on its own.
• Do not split, crush, or chew unless your pharmacist or doctor specifically tells you to.

Each SILDIGRA BLACK FORCE tablet contains 200 mg of sildenafil citrate, which is a high dose compared with many standard sildenafil tablets. It is generally taken only as needed, not more than once per day, and the exact dose and schedule must be decided by a doctor. Because this is a strong tablet, patients should not assume it is suitable for first-time use or for self-adjusting the dose.

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
• Nasal congestion
• Dizziness
• Blurred vision or color changes
• Back pain or muscle ache

• This 200 mg strength is high and should only be used under medical supervision.
• Do not use it with nitrates or "poppers" because the combination can cause a dangerous drop in blood pressure.
• Tell your doctor if you have heart disease, low blood pressure, stroke history, or severe liver or kidney problems.
• Avoid heavy alcohol use, which can worsen dizziness and lower blood pressure.
• Use caution if you drive or operate machinery, especially if you feel dizzy or have vision changes.
• Do not take it with other erectile dysfunction medicines unless your doctor specifically instructs you to.
• If you have an erection lasting longer than 4 hours, get emergency help right away.

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

Store SILDIGRA BLACK FORCE 200 mg Tablet at room temperature in the original strip or box, away from moisture, heat, and direct light.