Vega Extra Cobra 200 Jelly

Vega Extra Cobra 200 Jelly is a prescription oral jelly containing Sildenafil Citrate 200 mg in each sachet. It belongs to the phosphodiesterase type 5 (PDE5) inhibitor class and is used to treat erectile dysfunction in adult men by helping improve the ability to get and keep an erection when sexually stimulated. This product is the highest labeled strength in the Vega Extra Cobra line, so it is intended for patients whose prescriber has specifically selected this dose. It comes as a pack of 10 sachets manufactured by HAB Pharmaceuticals & Research Ltd.

How it works: Sildenafil in Vega Extra Cobra 200 Jelly relaxes smooth muscle and widens blood vessels in the penis, which increases blood flow during sexual stimulation. Because it is an oral jelly, it is taken by mouth and may be absorbed more quickly than some solid forms, but it still works only with sexual arousal.

Vega Extra Cobra 200 Jelly is a higher-strength option than Vega Extra Cobra 120 Jelly and the lower-dose Vega Oral Jelly. Because it contains 200 mg of sildenafil per sachet, it is not a routine starting strength and is generally chosen only when a clinician decides a stronger dose is appropriate based on response and tolerability. The oral jelly form may suit men who prefer not to swallow tablets and may allow a quicker, easier-to-take option.

• Erectile dysfunction
• Difficulty getting an erection
• Difficulty keeping an erection
• Prescription treatment for adult men with ED

• Open one Vega Extra Cobra 200 Jelly sachet and squeeze the jelly directly into the mouth.
• Swallow the jelly; it is not a tablet and does not need to be dissolved in water unless your prescriber advises otherwise.
• Take it about 30 to 60 minutes before sexual activity, or as directed by your doctor.
• Do not take more than one sachet in 24 hours.
• A heavy or high-fat meal may delay how fast it works, so timing with meals can matter.
• Avoid taking it with grapefruit or grapefruit juice unless your clinician says it is okay.

Each Vega Extra Cobra 200 Jelly sachet contains Sildenafil Citrate 200 mg, which is a high labeled dose compared with lower-strength sildenafil products. The doctor decides whether this strength is appropriate and how often it may be used; it should not be taken more than once per day. Do not change the dose on your own, especially with this higher-strength oral jelly.

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

Common side effects of Sildenafil Citrate may include:

• Headache
• Flushing
• Indigestion or upset stomach
• Nasal congestion
• Dizziness
• Back pain
• Vision changes such as a bluish tint or blurred vision

• Vega Extra Cobra 200 Jelly is a higher-strength sildenafil product, so it may be more likely to cause side effects than lower strengths.
• Do not use it with nitrates such as nitroglycerin or isosorbide, because the combination can cause a dangerous drop in blood pressure.
• Use caution if you have heart disease, recent stroke, low blood pressure, or significant liver or kidney problems.
• Avoid excess alcohol, which can worsen dizziness and lower blood pressure.
• Do not drive or operate machinery if you feel dizzy, lightheaded, or have vision changes after taking it.
• Tell your clinician if you have a history of priapism, penile deformity, or bleeding disorders.
• If the oral jelly contains sweeteners or flavoring, check the label if you have diabetes or sensitivities to certain ingredients.

• Nitrates for chest pain
• Alpha-blockers such as tamsulosin or doxazosin
• Other PDE5 inhibitors such as tadalafil, vardenafil, or avanafil
• Certain antifungal or antibiotic medicines that can raise sildenafil levels, such as ketoconazole, itraconazole, erythromycin, or clarithromycin
• HIV protease inhibitors such as ritonavir

Store Vega Extra Cobra 200 Jelly in the original strip/box at room temperature, away from excess heat, moisture, and direct sunlight, and keep each sachet sealed until use.