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Precaution	Description	Recommended Action
Kidney or Liver issues	May affect drug metabolism	Consult doctor before use
Nitrate use	Unsafe with nitrates, risks severe hypotension	Do not take together
Cardiovascular condition	Potential risk of heart problems	Medical clearance required
Alcohol consumption	Can enhance side effects and reduce efficacy	Limit or avoid alcohol
Allergies	Possible allergic reactions	Check ingredients before use

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• Marketed as a cost-effective alternative in many countries outside the US.
• Patent for sildenafil expired, allowing generic production like Fildena.
• Packaging often comes in blisters of 4, 10, or 20 tablets per strip.
• Check for authentication seals or holograms on packaging to verify legitimacy.
• Reports of online scams selling fake or adulterated products are common.
• The term "Fildena" is a brand name, not the generic drug name (sildenafil).
• Some online pharmacies may offer it without a valid prescription illegally.
• Traveling with medication: keep in original packaging with prescription copy.
• Temperature stability is typically between 15°C and 30°C (59°F to 86°F).

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• The 120mg dose is a high dose; never start at this strength without titration.
• Titration means starting at 50mg and increasing based on tolerance/effect.
• Maximum recommended dose is 100mg for Viagra; 120mg is a super-potent generic.
• Higher doses significantly increase the risk and severity of side effects.
• The "120" in the name refers to milligrams (mg) of sildenafil citrate.
• Film coating helps mask the bitter taste of the active ingredient.
• Inactive ingredients include microcrystalline cellulose and magnesium stearate.
• Colorants used in the coating give the tablet its distinctive blue color.
• Manufacturing standards must comply with Good Manufacturing Practices (GMP).

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Side Effect	Severity	Commonality	Notes
Headache	Mild to moderate	Common	Usually subsides within hours
Flushing	Mild	Common	Redness of face and neck
Dizziness	Mild to severe	Less common	Be cautious while driving
Visual disturbances	Rare	Rare	Blurred vision, color perception change
Priapism	Emergency, sustained erection	Very rare	Needs immediate medical attention

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