Vega Extra Cobra Oral Jelly 120 mg

Sildenafil is used for the following purpose in erectile dysfunction care.

• Supporting the ability to get an erection during sexual stimulation

• Supporting the ability to maintain an erection suitable for sexual activity

These are uses of sildenafil in appropriately assessed adults. They do not establish that a 120 mg sachet is a suitable treatment for an individual. The correct strength depends on the prescription and health assessment.

Erection difficulty and low sexual desire are different concerns. Sildenafil does not increase sexual desire. It also does not cure the underlying cause of erectile dysfunction or protect against sexually transmitted infections.

The potential treatment benefits relate to sildenafil used at an appropriate prescribed dose. The format also has practical features.

• Sildenafil supports the natural erection response during sexual stimulation

• The oral jelly presentation provides an alternative format to a solid tablet

• Individual sachets display product details that can be checked before use

These features do not show that 120 mg works better than standard sildenafil strengths. A higher number on the pack is not a reason to choose a medicine. Treatment should balance the expected benefit with the risk of adverse effects.

If swallowing tablets is difficult for you then tell your pharmacist. Ask about a suitable formulation at the prescribed strength. Choosing a convenient format should still preserve the correct dose.

Sildenafil belongs to the PDE5 inhibitor medicine class. It helps blood vessels in the penis relax during sexual stimulation. This supports blood flow needed for an erection. Sexual stimulation remains necessary for the medicine to work.

Taking sildenafil does not produce an automatic erection. It does not create a continuous erection throughout the time the medicine is in your body. An erection lasting longer than four hours requires emergency medical attention even without pain.

Standard sildenafil tablet guidance for erectile dysfunction usually starts at 50 mg when needed. A prescriber adjusts this to 25 mg or a maximum of 100 mg according to response and tolerability. The maximum recommended frequency is once daily. Some medicines and health conditions require a lower dose or longer interval.

Vega Extra Cobra Oral Jelly 120 mg exceeds that standard maximum dose. The tablet guidance is provided for context. It is not an instruction to take this jelly or a full sachet. Do not use this page to calculate a personal dose.

Ask your prescriber about a product available at the required strength. Do not estimate a smaller dose by squeezing out part of the sachet. Visual measurement does not establish the amount of sildenafil taken.

Follow the instructions supplied with the exact product after the prescriber has confirmed suitability. Oral jelly is taken by mouth. Do not apply it to the penis or use it as a lubricant.

Do not take an extra dose because the first treatment did not give the expected response. Contact the prescriber instead. If you take more than prescribed then seek prompt medical advice and keep the packaging available.

Reported sildenafil side effects include headache and facial flushing. Indigestion and a blocked nose also occur. Some people experience dizziness or changes in colour vision. Not everyone develops side effects. Speak to a pharmacist or doctor about symptoms that persist or bother you. Do not drive or operate machinery while dizzy or while your vision is affected.

Stop taking sildenafil and seek immediate medical help for sudden vision loss or sudden hearing loss. An erection lasting longer than four hours requires emergency care. Severe breathing difficulty or swelling of the face or throat also requires emergency treatment. If chest pain occurs during sex then stop the activity and seek emergency help. Tell the medical team when you took sildenafil. Do not take nitrate medicine yourself to treat the pain.

Do not take sildenafil in the following situations.

• You are allergic to sildenafil or an ingredient in the product

• You take nitrate medicines for chest pain

• You use recreational nitrites known as poppers

• You take riociguat

• Your doctor has advised against sexual activity because of your heart condition

This erectile dysfunction product is not intended for children or adolescents. It is not a treatment for women with sexual concerns. Sildenafil has other uses in specialist care but those use different treatment plans.

Tell your doctor about a recent heart attack or stroke. Low blood pressure and significant heart disease also need assessment. Discuss kidney or liver problems before selecting a sildenafil strength.

Give your prescriber a current list of everything you take. Include prescribed medicines and supplements. Check the following groups before considering sildenafil.

• Nitrates such as nitroglycerin and isosorbide mononitrate

• Riociguat

• Alpha blockers used for prostate symptoms or blood pressure

• Other blood pressure medicines

• Ritonavir and some other HIV treatments

• Ketoconazole and itraconazole

• Erythromycin

• Other sildenafil products and other erectile dysfunction treatments

Nitrates and sildenafil together cause a dangerous blood pressure interaction. Some other medicines increase sildenafil exposure or add to its blood pressure lowering effect. Your prescriber needs the exact medicine names to check these risks.

Do not combine this product with another erection medicine on your own. Taking different brands does not prevent duplicate ingredients. Ask a pharmacist to check your existing products before any treatment change.

Avoid excessive alcohol. Drinking heavily makes erection difficulties worse. Discuss grapefruit and grapefruit juice with your pharmacist. Standard oral sildenafil taken with a high fat meal has a slower onset. Do not compensate for a delayed response by taking more medicine.

• Follow the storage conditions printed on the supplied pack

• Keep sachets in their original carton with the leaflet

• Keep the medicine out of sight and reach of children

• Protect the pack from excessive heat and direct sunlight

• Check the expiry date before use

• Do not use a sachet with a broken seal or visible leakage

• Ask your pharmacist how to dispose of expired or unused medicine

Do not apply storage instructions for sildenafil tablets or liquid suspension to this jelly. The exact product packaging should state the correct temperature range and handling requirements. Ask the supplying pharmacist if that information is unclear.