Malegra 100

Malegra 100 is a tablet whose active ingredient is sildenafil, 100 mg per tablet, made by Sunrise Remedies Pvt. Ltd. in India. Sildenafil is a PDE5 inhibitor, the same active ingredient as in the original brand Viagra.

With sexual stimulation the body releases nitric oxide, which raises cGMP in the penis, relaxes the smooth muscle and lets more blood flow in. The PDE5 enzyme breaks cGMP down, and sildenafil blocks that enzyme, so the blood flow that supports an erection is easier to achieve. It is not an aphrodisiac, so it has no effect without sexual stimulation.

The drug acts mainly on the tissue of the penis. It does not raise sex hormones or sex drive directly.

It is used for erectile dysfunction (ED) in adult men, meaning the inability to get or keep an erection firm enough for sex. It works only when there is sexual stimulation.

ED is common, particularly in men over 40. Stress, tiredness or heavy drinking now and then are frequent triggers. When it happens often, it can be linked to high blood pressure, high cholesterol, diabetes, depression or anxiety, and hormone problems, so see a doctor if it keeps recurring, because it can be a sign of another treatable condition.

Lifestyle changes such as losing weight, stopping smoking, exercising regularly and reducing stress can help as well.

Per the sildenafil reference label (EMA, Viagra), take it as needed, about 1 hour before sex, swallow the tablet whole with water, and take it no more than once a day.

Dose: the reference label starts at 50 mg and allows a rise to 100 mg or a drop to 25 mg depending on response and tolerance. The maximum is 100 mg. So a Malegra 100 tablet is the maximum single dose. The right dose for you follows the advice of your doctor or pharmacist. This page quotes the sildenafil reference label, not a Malegra leaflet.

Food: taking it with food can delay the start of action compared with an empty stomach, and a large meal can take longer still. Avoid grapefruit and grapefruit juice while using it, because it makes side effects more likely.

Very common: headache

Common:

• Nausea, indigestion
• Facial flushing, hot flush
• Dizziness, stuffy nose
• Vision changes, such as a bluish tinge or blurred vision

Stop and see a doctor right away:

• Sudden loss of vision or any sudden visual defect
• Sudden decrease in hearing
• Chest pain, irregular heartbeat, fainting or seizures
• Severe allergic reaction, blistering skin, difficulty breathing
• An erection lasting longer than 4 hours

Do not take it if:

• You use any nitrate or nitric oxide donor, such as amyl nitrite (poppers), because blood pressure can fall sharply
• You are allergic to sildenafil or any ingredient
• You have severe heart disease where sex is inadvisable, such as unstable angina or severe heart failure
• You have lost vision in one eye because of NAION
• You have severe liver impairment, blood pressure below 90/50 mmHg, or a recent stroke or heart attack
• You are a woman or under 18, groups for which the reference label lists no use

Use with caution if you have a deformed penis (for example curvature) or a condition that raises the risk of a prolonged erection, such as sickle cell anaemia, multiple myeloma or leukaemia. Always tell your doctor or pharmacist about your health conditions and every medicine you use before starting.

Two other oral sildenafil tablets in the store match Malegra 100 in form:

• Sidegra (Sildenafil) — made in Thailand, available in 50 mg and 100 mg, sold as a small strip. Choose it when you want to start with a lower strength.
• Viagra (Sildenafil) — the original brand from Pfizer, pack of 4 tablets. Choose it when you want the original brand.
• Malegra 100 — one strength, 100 mg, sold as a strip of 10 tablets or a box of 100. Choose it when you have been advised to take this strength.

In short: all three contain sildenafil, so never take them together. They differ in brand, strength and pack size, so choose by the strength your doctor or pharmacist recommends and how often you use it.

Never together:

• Nitrates and poppers (details in the section on who should not take it)
• Riociguat, a guanylate cyclase stimulator

Not recommended together:

• Ritonavir, an HIV medicine
• Other PDE5 inhibitors or other erectile dysfunction treatments, because the safety of the combination has not been studied

Use with caution: alpha-blockers used for high blood pressure or an enlarged prostate can drop blood pressure when combined. Blood pressure should be stable on them first, and sildenafil is started at the lowest dose. Some medicines that block the CYP3A4 enzyme can also raise sildenafil levels in the blood.

Tell your doctor or pharmacist about every medicine, vitamin and herbal product you use before you start.

Intimo Life sells Malegra 100 two ways: a strip of 10 tablets for men who want to start with a small quantity, and a box of 100 tablets (10 strips) for men who have already been advised to take sildenafil 100 mg, use it regularly and prefer not to reorder often. In the erectile dysfunction treatment collection, it is the only pack of this size.

If you have never taken sildenafil, ask a doctor or pharmacist first whether 100 mg is right for you, then order. First-time users suit the strip better, because there is no large stock to keep.

Storage: keep it below 30°C and keep the strip dry to protect it from moisture, not in the bathroom or a sun-baked car, out of reach of children, and check the expiry date printed on the strip before every use.

Where to buy Malegra 100

If you are looking for where to buy sildenafil, you can order Malegra 100 online at Intimo Life. It ships across Thailand in 1-3 working days, in discreet packaging with no product name on the parcel.