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Description

Vega-Extra Cobra-200 Oral Jelly

Vega-Extra Cobra-200 Oral Jelly is listed as an oral jelly containing 200mg sildenafil. The source page

presents it as a sildenafil gel. A 200mg sildenafil strength is above the usual recommended maximum for

erectile dysfunction, so the product should not be described as a routine dose.

Product Information

Product Vega-Extra Cobra-200

Active ingredient(s) Sildenafil

Strength 200mg

Form Oral jelly

Medicine type PDE-5 inhibitor

Use Erectile dysfunction – high-strength listed product

requiring professional assessment

What Is Vega-Extra Cobra-200?

Vega-Extra Cobra-200 Oral Jelly is listed as an oral jelly containing 200mg sildenafil. The source page

presents it as a sildenafil gel. A 200mg sildenafil strength is above the usual recommended maximum for

erectile dysfunction, so the product should not be described as a routine dose.

Erectile dysfunction can have several possible causes, including cardiovascular disease, diabetes, certain

medicines, hormonal factors, lifestyle factors and psychological factors. Persistent or new erection problems

can sometimes be an early sign of an underlying health condition, so medical assessment can be important.

How Does Sildenafil Work?

Sildenafil belongs to a group of medicines called phosphodiesterase type 5 (PDE-5) inhibitors. During sexual

stimulation, nitric oxide signalling increases cGMP in erectile tissue. Sildenafil helps prevent the breakdown of

cGMP, allowing the smooth muscle in the erectile tissue to relax and blood flow to increase. This supports an

erection when sexual stimulation occurs. Sildenafil does not create sexual desire and does not normally

cause an erection without sexual stimulation.

Vega-Extra Cobra-200 Dosage

Do not treat 200mg as a standard sildenafil dose. The usual recommended sildenafil range for erectile

dysfunction is based around 25–100mg, with 100mg as the maximum recommended dose. The exact

formulation, ingredient list, authorisation and labelling should be verified against the current packaging before

any UK product page is published.

How To Take It

Follow the instructions supplied with the medicine and the advice of the prescribing doctor or pharmacist. For

erectile dysfunction, sildenafil is commonly taken about one hour before sexual activity, although the time to

effect varies between individuals. Sexual stimulation is necessary. Do not take additional tablets or another

sildenafil product because the first dose seems not to have worked.

Sildenafil, Food and Timing

Sildenafil can generally be taken with food, but a large or high-fat meal may delay the onset of action. Avoid

grapefruit or grapefruit juice because it may increase sildenafil exposure and the chance of side effects.

Individual response varies, so the medicine should be used according to the supplied leaflet and professional

advice.

Who Should Not Take It?

Sildenafil is not suitable for everyone. The most important contraindication is the use of nitrate medicines

because the combination can cause a potentially dangerous fall in blood pressure. Caution is also needed

with some alpha-blockers, blood-pressure medicines and medicines that affect sildenafil metabolism.

• Do not use sildenafil with nitrate medicines used for angina or chest pain.
• Do not use nitrate-containing recreational products such as poppers with sildenafil.
• Do not combine sildenafil with another PDE-5 inhibitor or another sildenafil product unless specifically

instructed by a qualified healthcare professional.

• Tell a doctor or pharmacist about all prescription medicines, pharmacy medicines, supplements and

recreational substances you use.

Important Precautions

Tell a doctor or pharmacist before use if you have heart or cardiovascular disease, low blood pressure,

uncontrolled high blood pressure, recently had a heart attack or stroke, significant liver or kidney disease, a

history of certain eye problems, or have been advised to avoid sexual activity. Medical advice is also

important if you take alpha-blockers, antihypertensives, antibiotics, antifungals, HIV medicines or other

medicines that may interact with sildenafil.

Possible Side Effects

Side effects are not experienced by everyone. The likelihood of some adverse effects can increase with

higher doses. Most common effects are temporary, but persistent or troublesome symptoms should be

discussed with a pharmacist or doctor.

• Headache
• Dizziness
• Flushing
• Indigestion or stomach discomfort
• Blocked or stuffy nose
• Nausea or diarrhoea
• Temporary changes in vision

Seek urgent medical attention for chest pain, a severe allergic reaction, sudden loss of vision or hearing,

fainting, seizure, or an erection that lasts longer than four hours.

Sildenafil and Other Medicines

Sildenafil can interact with several medicines. In particular, nitrates used for angina or chest pain must not be

combined with sildenafil. Other medicines that may require review include alpha-blockers, certain antibiotics

such as erythromycin or clarithromycin, some antifungal medicines, some HIV medicines, certain medicines

for pulmonary hypertension, and other medicines for erectile dysfunction. Tell your healthcare professional

about vitamins, supplements and herbal products too.

Sildenafil and Alcohol

Alcohol can make it more difficult to obtain an erection and may increase dizziness or a drop in blood

pressure when combined with sildenafil. Avoid excessive alcohol and follow professional advice.

Important Product-Specific Information

Do not add claims about extra strength, faster action or superior effectiveness unless supported by authorised

product information.

Frequently Asked Questions

What is this product used for?

It is listed as a sildenafil product for erectile dysfunction. The exact authorised indication should be confirmed

from the current product information.

Does sildenafil work without sexual stimulation?

No. Sexual stimulation is needed for sildenafil to support the natural erectile response.

How often can sildenafil be taken?

For erectile dysfunction, sildenafil should not be taken more than once in 24 hours.

Can it be taken with Viagra?

Viagra contains sildenafil. Combining two sildenafil products can increase the total dose and should not be

done unless specifically advised by a qualified professional.

Can sildenafil be taken with nitrates?

No. Sildenafil and nitrate medicines can cause a dangerous fall in blood pressure when used together.

What if the erection lasts more than four hours?

Seek urgent medical attention. A prolonged erection can damage erectile tissue if it is not treated promptly.

Important UK Information

This page is intended as factual educational content and must not be treated as a substitute for medical

advice. Before publishing or selling a named medicine in the UK, Kama Direct UK should verify the product’s

UK marketing authorisation, legal classification, supplier, packaging, patient information leaflet and applicable

prescribing/supply pathway. UK medicines advertising rules are especially important for prescription-only

medicines.

Always read the patient information leaflet supplied with the medicine and speak with a doctor or pharmacist if

you are unsure whether the medicine is suitable for you, how it should be taken, or whether it can be

combined with another medicine.