Japanese Herbal Viagra (Sildenafil 50mg VI[DK])
Authentic Import from Japan
Product Details:
- Japanese Name: シルデナフィル錠50mgVI「DK」
- English Name: Sildenafil 50mg VI[DK]
- Common Chinese Name: 西地那非 (Viagra analog)
- Manufacturer: Daiko Pharmaceuticals (大興製薬)
- Active Ingredient: Sildenafil (50mg per tablet)
- Category: Oral Medication
Indications
Treatment of Erectile Dysfunction (ED).
Key Information
- Mechanism: Sildenafil inhibits PDE5, enhancing nitric oxide (NO)-mediated vasodilation in the penis to improve erectile function.
- Legacy: Originally developed by Pfizer as Viagra®, now generically produced post-patent expiration.
Side Effects
Common:
- Vasodilation, flushing, headache, dizziness, nasal congestion, dyspepsia, visual disturbances (e.g., blurred vision, blue-tinted vision).
Serious (Rare):
- Priapism (prolonged erection >4 hours), sudden hearing loss, cardiovascular events (e.g., myocardial infarction), severe hypotension, retinal bleeding.
Full Side Effect List (Non-Exhaustive):
- Cardiovascular: Chest pain, palpitations, arrhythmias.
- Neurological: Syncope, paresthesia, anxiety, insomnia.
- Gastrointestinal: Nausea, diarrhea, dry mouth.
- Ocular: Conjunctival redness, photophobia, retinal vascular disorders.
- Other: Muscle pain, rash, abnormal liver function tests.
Contraindications & Warnings
Do NOT use if you have:
- Hypersensitivity to sildenafil.
- Retinitis pigmentosa.
- Severe cardiovascular disease (e.g., recent myocardial infarction, stroke within 6 months).
- Resting hypotension (<90/50 mmHg) or hypertension (>170/100 mmHg).
- Concurrent use of nitrates (e.g., nitroglycerin) or NO donors.
- Hepatic impairment or severe renal dysfunction (CrCl <30 mL/min).
Dosage & Administration
- Standard Dose:
- 25–50mg (½–1 tablet) taken orally with water 1 hour before sexual activity.
- Max Frequency: Once daily (24-hour interval between doses).
- Special Populations:
- Elderly (≥65 years), Hepatic/Renal Impairment: Start with 25mg (½ tablet) due to increased plasma concentration.
Important Notes
- Avoid high-fat meals before intake (delays absorption).
- Discontinue immediately if priapism, vision loss, or cardiovascular symptoms occur.
- Not for recreational use – strictly prescribed for diagnosed ED.