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Sildenafil Citrate 200mg Tablet: How to Use and Available Medicines

Author: Renu Meena
Category: Generic Drugs
Published: 21, Apr 2025 Last Updated: 22, Apr 2025
Sildenafil Citrate 200mg Tablet: How to Use and Available Medicines

Overview

Sildenafil Citrate is renowned for being one of the first active molecules to treat Erectile Dysfunction (ED). The discovery of the molecule led to a revolution in the treatment of ED (One of the most prevalent sexual disorders in men) and paved the way for further research.

They come in different strengths, the highest being 200mg. However, this dosage is not typically recommended and should only be taken under strict medical supervision. In this blog, we will explore how to use Sildenafil Citrate 200mg, its side effects, and available medicines. 

What are Sildenafil Citrate Tablets?

Most of the tablets containing Sildenafil Citrate come in a film-coated, blue-coloured, rounded-diamond form. Pfizer, a leading global pharmaceutical company, discovered the drug in 1989. 

Although Sildenafil was originally developed to treat angina pectoris (chest pain), researchers soon discovered its effectiveness in treating erectile dysfunction (ED). Additionally, it is used to manage pulmonary hypertension by improving blood flow. The medication is available as a film-coated, white, round tablet.

How does Sildenafil Citrate 200 Treat ED?

Sildenafil is a PDE-5 (Phosphodiesterase 5) inhibitor, an enzyme found in the corpus cavernosum of the smooth muscles. The enzyme breaks down or degrades cGMP production, limiting blood flow. 

PDE-5 inhibitors like Sildenafil Citrate mimic cGMP and inhibit the PDE-5 enzyme, facilitating blood flow and smooth muscle relaxation. This simple function helps men get and maintain an erection for sexual intercourse. Generally, lower doses of Sildenafil are prescribed to men facing ED. 

However, when they do not yield results, a higher dose is used. Higher doses, such as Cenforce D (contains 200mg Sildenafil), have more Sildenafil content and therefore work efficiently in treating ED. It is important to remember that higher dosage does not always mean better results. 

Benefits of Using Sildenafil Citrate 200mg Tablets

200mg Sildenafil Citrate tablets offer several benefits to men suffering from Erectile Dysfunction (ED). They are: 

  • Increased Blood Flow: Sildenafil Citrate 200mg helps to increase blood flow to the penis. This aids in erection. 

  • Works More Effectively: They are only prescribed if lower doses do not work. Since these tablets contain 200 mg of Sildenafil Citrate, they are more adept at treating ED. However, always exercise caution when taking it.

  • Easy to Consume: Sildenafil Citrate 200mg comes in film-coated tablets which are easy to consume. 

  • Satisfying Sexual Life: These tablets treat ED and allow you to have a fulfilling and satisfying sexual life.  

How to Use Sildenafil Citrate?

Sildenafil is a prescription drug, meaning without a doctor’s prescription you cannot buy them. Follow your doctor’s advice before consuming Sildenafil Citrate 200mg. However, below are some general guidelines. 

  • Method of Administration: Oral tablets

  • When to Take: Consume it at the same time every day

  • How to Take: Swallow the pill as a whole with a glass of water. Do not chew or break the tablet

  • How to Store: Store it in a cool, dry place, away from direct sunlight. Keep away from the reach of children

  • Dosage: 1 pill every day or on demand

Clinical Use of Sildenafil Citrate 200mg Tablets

Doctors usually do not recommend consuming such a high dosage of Sildenafil Citrate. Therefore, it is often used off-label to treat Erectile Dysfunction. 

Moreover, 200mg Sildenafil is not FDA approved in many places, further amplifying its avoidance. 

Clinical Trials Including Sildenafil Citrate 200mg

In a PubMed study, 54 patients were given varying doses of Sildenafil Citrate. These doses ranged from 100mg to 200mg. The study showed that increasing the dosage resulted in a better International Index of Erectile Dysfunction score. 68% of patients recorded improved erections after being given 200mg of Sildenafil. 

However, with improved sexual life, there is a greater intensity of adverse effects. This resulted in 31% of patients refusing to take higher doses. Moreover, 63% of the patients reported having intolerable side effects such as headaches and nasal congestion. 

Ultimately, this shows that 200mg Sildenafil Citrate is not ideal for everyone and should be consumed only if lower doses do not work. 

Side Effects of Sildenafil 

Sildenafil Citrate 200mg tablets can cause some common and rare side effects. The intensity of the side effects may increase due to the higher dosage. Therefore, you should take precautions while consuming these tablets. Always let your doctor know about your previous medical history. Let us discuss the common side effects of Sildenafil: 

  • Upset stomach

  • Headache

  • Dizziness

  • Congestion in the nose

  • Rash 

  • Flushing 

  • Nausea 

  • Diarrhea 

  • Vision changes

  • Prolonged erection 

These adverse effects usually go away as your body adjusts to the high dose of 200mg of Sildenafil Citrate. But if they do not dissipate, check with your doctor. 

Some of the rare side effects include:

  • Priapism: Priapism is a prolonged and often painful erection lasting more than four hours. If you experience an erection without sexual stimulation or notice tenderness in your penis, stop taking the medication immediately and seek medical attention.

  • Vision Changes: Sildenafil can cause permanent vision loss in one or both eyes. If you see a blue tint or blurry vision, seek immediate medical care. 

  • Allergic Reaction: If you face symptoms of severe allergic reaction, such as racing heart, wheezing, skin rash, itching, or tightness in the throat, immediately seek medical care. 

  • Hearing Loss:  If you are dizzy and hear a ringing sound in the ears, call a doctor immediately. This could be a sign of permanent hearing loss. 

Consuming too much Sildenafil may result in fatal side effects. Therefore, exercise caution and follow your doctor’s advice. 

Precautions for Sildenafil 

Now that you know the side effects of Sildenafil, let us discuss the precautions that will help reduce or avoid these adverse effects. Here is a list of people who should not take Sildenafil Citrate tablets 200mg:

  • People who have had a stroke.

  • Men who consume nitrate medicines.

  • Individuals who are allergic to the ingredients of the medicine.

  • If you use poppers such as Amyl Nitrate or Amyl Nitrite.

  • If you use Riociguat.

Moreover, ensure that your healthcare provider knows about your past medical history. 

Ensure you are informed about the following:

  • Past heart problems

  • Chest pain

  • Sickle cell anaemia 

  • Retinitis pigmentosa

  • Diabetes 

  • High cholesterol

  • Liver problem

  • Kidney problem

  • Abnormal penis 

  • Heart attack

  • Stroke

  • Ulcers 

The doctor will be able to prescribe the right medicine and dosage based on your medical history. Moreover, avoid consuming alcohol and grapefruit juice when consuming Sildenafil Citrate 200mg, as it can interact with the medicine and hinder its effectiveness. 

Remember, exercising caution and discretion will help you sail a smooth journey toward sexual well-being. 

Available Medicines: Sildenafil Citrate Tablets 200mg

The usual dosage for Sildenafil is 50mg. However, various strengths such as 20mg, 50mg, 100mg, and 200mg are available. Here are the available medicines of Sildenafil Citrate 200mg.  

Brand 

Dosage 

Manufacturer 

Cenforce 

200mg

Centurion Laboratories

Malegra 200

200mg

Sunrise Pharma

These brands offer 200mg of Sildenafil Citrate tablets along with lower dosages. 

Final Thoughts

Sildenafil Citrate 200 is an effective drug for treating Erectile Dysfunction. This is a high dosage and is only prescribed if other lower dosages do not work. Ensure that you follow your doctor’s prescribed dose for maximum benefits. 


Are you worried about Erectile Dysfunction? Shop Sildenafil Citrate 200mg tablets from Indogenmed and take charge of your sexual life. 


Disclaimer: For information purposes only. This does not replace professional healthcare advice and prescription. 

Frequently Asked Questions

  1. How long does it take for Sildenafil to kick in?

Sildenafil starts working in about 30-60 minutes for Erectile Dysfunction. 

  1. Can a woman take Sildenafil Citrate tablets?

No, Sildenafil Citrate 200 mg is not for use in women. It is strictly made for men suffering from ED and PAH. 

  1. Can Sildenafil Citrate tablets be taken daily?

Doctors typically recommend maintaining a 24-hour gap between doses of Sildenafil. Since it is an on-demand medication, it should be taken before planned sexual activity.

  1. Does it cause high blood pressure?

No, Sildenafil does not cause high blood pressure. It helps reduce hypertension by relaxing smooth muscles and facilitating blood flow. 

  1. When to take Sildenafil Citrate tablets?

You can take Sildenafil Citrate at any time of the day. However, make sure you take it at the same time, making the medicine more effective. 

  1. Will it work the first time?

Sildenafil Citrate 200mg tablets may or may not work the first time. As it requires sexual stimulation, allow two or three trials to see whether it works. 

  1. Will my performance improve if I use a Sildenafil Citrate tablet 200mg?

Sildenafil Citrate tablets will help you get and maintain an erection for sexual intercourse, thus improving your intimate life. 

  1. What do Sildenafil Citrate tablets do?

Sildenafil Citrate 200 inhibits the PDE-5 enzyme in your body to help treat ED. It also promotes blood flow and relaxes smooth muscle. 

  1. Can it be taken with Tadalafil?

No, do not consume Sildenafil and Tadalafil together. Combining the two PDE-5 inhibitors could result in dangerously low blood pressure levels, which may be fatal. 

  1. Is the generic brand Sildenafil good?

Yes, generic Sildenafil is safe and effective in treating ED. The FDA approves the use of generic Sildenafil tablets.

References:

https://labeling.pfizer.com/showlabeling.aspx?id=9555&section=PPI#:~:text=SILDENAFIL%20CITRATE%20TABLETS%20is%20a,is%20sexually%20excited%20(stimulated)

https://pmc.ncbi.nlm.nih.gov/articles/PMC115867/

https://www.mayoclinic.org/drugs-supplements/sildenafil-oral-route/description/drg-20066989

https://www.nhs.uk/medicines/sildenafil-viagra/how-and-when-to-take-sildenafil/

https://www.drugs.com/sildenafil.html

Disclaimer

Indogenmed’s primary goal is to provide expert-reviewed, accurate, and reliable information to its users. However, the information provided here is not intended to replace the advice of a qualified healthcare professional. It is for informational purposes only and may not cover every aspect of specific health conditions, lab tests, medications, potential side effects, drug interactions, warnings, or alerts. We encourage you to consult your doctor for any medical concerns or questions. Our aim is to support, not replace, the vital doctor-patient relationship.