Introduction
Erectile dysfunction (ED) is a common condition affecting millions of men worldwide, including many in Australia. While occasional difficulty in achieving or maintaining an erection can happen to anyone, persistent ED often requires medical attention. One of the medications widely discussed for this condition is Fildena 100 mg, which contains the same active ingredient found in Viagra: sildenafil citrate.
This article explores everything you need to know about Fildena 100 mg in Australia — including how it works, dosage guidelines, safety considerations, and availability.
What is Fildena 100 mg?
Fildena 100 mg is a medication formulated to help men with erectile dysfunction. Its active component, sildenafil citrate, belongs to a class of drugs known as PDE5 inhibitors. By relaxing blood vessels and increasing blood flow to the penis, sildenafil helps men achieve and maintain an erection when sexually stimulated.
The “100 mg” label indicates the dosage strength. While smaller doses (25 mg, 50 mg) are available, 100 mg is considered a standard high dose often prescribed to men with moderate to severe ED.
How Does It Work?
To understand Fildena’s action, it’s important to look at how erections occur naturally. When a man is sexually aroused, nitric oxide is released in the penile tissue, stimulating an enzyme (cGMP) that relaxes smooth muscles and allows blood to flow into the corpora cavernosa.
In men with ED, this process may be disrupted due to stress, aging, medical conditions, or lifestyle factors. Sildenafil citrate works by blocking PDE5, an enzyme that breaks down cGMP. By doing so, it prolongs the effect of cGMP, allowing more blood to flow into the penis, resulting in firmer and longer-lasting erections.
Dosage and Administration
- Typical dose: 50 mg to start with, but some men may require 100 mg for maximum effectiveness.
- Onset of action: Usually 30–60 minutes after ingestion.
- Duration: Effects may last up to 4–6 hours.
- Instructions: Take the tablet with water, preferably on an empty stomach for faster absorption.
Men are advised not to exceed one tablet per day. Taking more does not necessarily increase effectiveness but does raise the risk of side effects.
Side Effects and Precautions
Like any medication, Fildena 100 mg can cause side effects. Most are mild to moderate and temporary, but some may require medical attention.
Common side effects:
- Headache
- Flushing
- Nasal congestion
- Indigestion
- Dizziness
Less common but serious effects:
- Vision disturbances (blurred or tinted vision)
- Hearing problems
- Priapism (erection lasting more than 4 hours)
- Chest pain
If any severe symptoms occur, immediate medical care is necessary.
Who should avoid Fildena 100 mg:
- Men taking nitrates (e.g., nitroglycerin) for heart conditions.
- Those with severe cardiovascular disease.
- Individuals with severe liver or kidney impairment.
- Men advised against sexual activity due to health risks.
Drug Interactions
Sildenafil can interact with other medications, potentially leading to dangerous effects. Notable interactions include:
- Nitrates and nitric oxide donors: Can cause a life-threatening drop in blood pressure.
- Alpha-blockers: May lead to dizziness or fainting.
- Certain antifungals and antibiotics (like erythromycin, ketoconazole): Can increase sildenafil levels in the blood.
- Alcohol: Can worsen dizziness and reduce effectiveness.
Fildena 100 mg vs. Viagra
Many Australians wonder about the difference between Fildena and Viagra. Both contain sildenafil citrate and work in the same way. The main differences often lie in:
- Brand vs. Generic: Viagra is the original brand, while Fildena is a generic equivalent.
- Price: Generic versions are typically cheaper.
- Availability: Regulations may differ, affecting whether Fildena is easily accessible.
Availability in Australia
In Australia, sildenafil citrate (including generic forms like Fildena) is a prescription-only medicine. This means men cannot legally purchase it without a doctor’s consultation and prescription.
The Therapeutic Goods Administration (TGA) regulates the sale of medicines in Australia to ensure quality, safety, and efficacy. While some people turn to online sources, buyers should be cautious — counterfeit ED medications are a global issue, and unregulated products may contain harmful or incorrect ingredients.
Alternatives and Lifestyle Approaches
For men hesitant about using pharmaceuticals, there are other approaches that may improve erectile function:
- Lifestyle changes: Regular exercise, quitting smoking, reducing alcohol, and managing stress can all help.
- Diet: A heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins supports vascular health.
- Counselling or therapy: For ED linked to psychological factors like anxiety or depression.
- Other medications: Alternatives include tadalafil (Cialis) or vardenafil (Levitra).
- Non-drug treatments: Vacuum erection devices, penile injections, or surgery in severe cases.
Important Considerations for Australian Men
- Consult a doctor: ED can be a symptom of underlying health issues such as diabetes, hypertension, or cardiovascular disease.
- Prescription only: Always source medicines legally and through proper medical channels.
- Avoid counterfeit drugs: Stick to licensed pharmacies to reduce risks.
Conclusion
Fildena 100 mg can be an effective solution for men struggling with erectile dysfunction, thanks to its active ingredient sildenafil citrate. However, like all prescription medications, it must be used responsibly under medical supervision.

