Cobra 120 is a drug that contains 120mg of the active ingredient Sildenafil citrate and is used to treat erectile dysfunction in men. Cobra is a PDE5 inhibitor, which inhibits the action of the enzyme PDE5 to relax the muscles of the blood vessels in the penis, thereby increasing blood flow to produce an erection. This effect, however, is achieved with the presence of sexual stimulation.
Dosage
The recommended initial adult dose of Sildenafil is 50mg once daily, as needed. However, Cobra 120 may be taken one tablet per day orally, as needed, 1 hour before sexual activity. The tablet must be swallowed whole with a glassful of water. The dose may decrease or increase depending on its efficacy and tolerability per individual. Dose adjustments must be made with the advice of a healthcare provider.
The maximum dose of 120mg of Cobra per day should not be exceeded.
Cobra may be taken with or without food. But if taken with food, especially foods high in fat, the onset of efficacy may be delayed.
This drug is not for children, women and male teenagers under 18. It is not an aphrodisiac and does not protect individuals from sexually transmitted diseases.
Contraindications
Men allergic to Cobra, its active ingredient Sildenafil and all its inactive ingredients must not take this medication.
Men with the following conditions must not take Cobra:
- Chronic bladder infections
- Heart disease
- Kidney disease
- Diabetes
- Thyroid disorder
Men not permitted to engage in sexual activity must not take this drug due to certain medical conditions. This drug is also contraindicated with a history of Non-Arteritic Anterior Ischaemic Optic Neuropathy (NAION). Those taking nitrates and any of its forms must not take Cobra because the hypotensive effects may be increased and cause undesirable effects.
The conditions contraindicated from Cobra use are not limited to those stated above. It is best to seek information from a healthcare provider.
Side effects
Cobra may cause common side effects, which usually last a few hours. The common side effects are, but are not limited to, the following:
- Headache
- Dizziness
- Diarrhoea
- Upset stomach
- Nasal congestion
- Flushing (redness, warmth)
- Nausea
- Back pain or muscle pain
When serious side effects are experienced, the medication must be stopped, and immediate medical help must be sought. Some severe side effects are, but are not limited to:
- Fainting
- Sudden vision loss or decrease in vision
- Sudden hearing loss or ringing in the ears
- Painful and prolonged erection
- Heat attack symptoms (chest pain, nausea, sweating, pain spreading to jaw or shoulder)
- Irregular heartbeat
- Swelling in hands, feet and ankles
- Shortness of breath
- Seizure
- Lightheadedness
Urgent medical help is needed if an allergic reaction to Cobra occurs, characterised by difficulty breathing, hives, or swelling of the face, lips, tongue or throat.
Immediate medical attention is also needed for men who have a painful erection or an erection that lasts more than 4 hours. Permanent damage to the penis may occur if this side effect is ignored.
Side effects of this drug are not limited to the list above. Seek the advice of a healthcare provider for more information.
Warnings and Precautions
Before taking Cobra, one must inform a healthcare provider of all medical history, current medical conditions and all medications being taken to determine if Cobra is safe to take. It may aggravate some medical conditions, thereby requiring dose adjustment. This drug might not be safe for some medical conditions, making it contraindicated. It may also cause adverse reactions if it interacts with other medications. Some medications that interact with Cobra are, but are not limited to:
- Antifungal medications
- Blood pressure medications
- Antidepressants
- Some antibiotics
- HIV medications
- Hepatitis C medications
Cobra must not be taken with other drugs that treat erectile dysfunction or medications for prostate disorders.
Cobra and Alcohol
Taking Cobra with alcohol may cause undesirable effects as both can cause a lowering of blood pressure.
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