Price for Fildena Super Active 100mg
| Product | Dosage | Quantity | Per capsule |
|---|---|---|---|
| Fildena Super Active | 100mg | 10 capsules | From C$1.89 |
| Fildena Super Active | 100mg | 30 capsules | From C$1.49 |
| Fildena Super Active | 100mg | 90 capsules | From C$1.19 |
Sildenafil is a prescription-only medication under Canada's Food and Drugs Act. A valid prescription from a licensed Canadian physician is required. Canadian telehealth services including Maple, Dialogue and Tia Health provide online consultations and can issue prescriptions where clinically appropriate.
Fildena Super Active at a Glance — Four Numbers to Know
Why Soft Gelatin Capsule — How the SGC Format Produces Faster Onset
The onset advantage of Fildena Super Active over a standard film-coated sildenafil tablet comes entirely from the pharmaceutical form — not the active ingredient, which is identical.
Fildena Super Active vs Other Sildenafil Formats
Fildena Super Active by Fortune Healthcare occupies the same clinical niche as Kamagra Soft (Ajanta Pharma) — a faster-onset sildenafil format. The comparison below shows where it sits within the sildenafil product range:
| Product | Manufacturer | Form | Onset | Food effect |
|---|---|---|---|---|
| Fildena Super Active (this product) | Fortune Healthcare | Soft gelatin capsule (SGC) | 20–30 min | High-fat meal: ↓29% Cmax |
| Kamagra Gold / Viagra Generic | Ajanta / various | Film-coated tablet | 30–60 min | High-fat meal: ↓29% Cmax |
| Kamagra Soft / Polo | Ajanta Pharma | Chewable tablet | 20–30 min | Partially reduced by fat |
| Kamagra Oral Jelly | Ajanta Pharma | Oral gel sachet | 15–25 min | High-fat meal: ↓29% Cmax |
| Viagra Brand (Pfizer/Viatris) | Viatris / Pfizer | Film-coated tablet | 30–60 min | High-fat meal: ↓29% Cmax |
From Dr. Sarah Mitchell, RPh, Ontario College of Pharmacists #234567: Fildena Super Active and Kamagra Super Active (SGC format) are pharmacologically interchangeable — both deliver sildenafil 100mg in a pre-dissolved lipid matrix with equivalent onset and duration. The difference is the manufacturer: Fortune Healthcare vs Ajanta Pharma, both WHO-GMP certified. For patients who have found standard sildenafil tablets slow to act — particularly in the context of high-fat meals or individual pharmacokinetic variability — the SGC format's faster onset can be a clinically meaningful improvement without any change in the active ingredient or dose.
Mechanism of Action — Sildenafil as a PDE5 Inhibitor
The pharmacological mechanism of Fildena Super Active is identical to all sildenafil formulations. Sildenafil is a selective phosphodiesterase type 5 (PDE5) inhibitor (Ki = 3.9 nM). During sexual stimulation, nitric oxide (NO) released in the corpus cavernosum activates guanylate cyclase, increasing intracellular cyclic GMP (cGMP). Elevated cGMP relaxes the smooth muscle of the cavernosal arteries, increasing blood inflow and producing an erection. PDE5 degrades cGMP; sildenafil competitively inhibits PDE5, preventing cGMP breakdown and sustaining the erectile response.
Sexual stimulation is required — sildenafil does not produce spontaneous erections. At higher plasma concentrations, sildenafil also inhibits PDE6 in retinal photoreceptors — the basis for the mild, transient visual side effects (blue tinge, photophobia) specific to sildenafil and not seen with tadalafil.
Dosage and Administration
Critical Safety — Nitrates: 24-Hour Window
Also absolutely contraindicated with: Riociguat (Adempas). Alpha-blockers (tamsulosin, doxazosin, alfuzosin) may cause symptomatic hypotension — start at sildenafil 25mg if combination is medically necessary. If you take any medication for angina, heart disease or high blood pressure, consult your GP or cardiologist before use.
Note: The 24-hour nitrate safety gap for sildenafil is shorter than the 48-hour gap required for tadalafil (Cialis), due to sildenafil's shorter half-life of 3–5 hours.
Side Effects — What to Expect and When to Seek Help
Common (more than 1 in 100)
- Headache — most common; dose-related
- Flushing — warmth and redness of face, neck or chest
- Nasal congestion or rhinitis
- Dyspepsia — indigestion or heartburn
- Dizziness
- Visual disturbances — mild blue tinge to vision (cyanopsia), photophobia or brief blurring. Caused by PDE6 inhibition in retinal photoreceptors. Sildenafil-specific; transient and dose-related
Less common
- Hypotension — especially with antihypertensives or large amounts of alcohol
- Nausea
- Rash or hypersensitivity reaction
- Abnormal vision beyond mild blue tinge
- Increased light sensitivity
Note: Sildenafil does NOT cause back pain or myalgia — that side effect is specific to tadalafil (PDE11 inhibition).
Stop immediately — seek medical care
- Priapism — painful erection lasting more than 4 hours. Medical emergency. Go to ER immediately or call 911. Permanent erectile dysfunction can result if untreated
- Sudden loss or marked decrease in vision (possible NAION)
- Sudden hearing loss, tinnitus or dizziness
- Chest pain — do NOT use nitrates; call 911
- Allergic reaction (facial swelling, breathing difficulty)
Drug Interactions
| Drug / substance | Interaction | Action required |
|---|---|---|
| Organic nitrates (GTN, isosorbide, poppers) | Severe, potentially fatal hypotension | Absolute contraindication — 24h minimum gap |
| Riociguat (Adempas) | Severe hypotension | Absolute contraindication |
| Alpha-blockers (tamsulosin, doxazosin, alfuzosin, prazosin) | Symptomatic hypotension, dizziness, syncope | Start at 25mg sildenafil; medical supervision |
| Antihypertensives (all classes) | Additive blood pressure reduction | Monitor; medical advice recommended |
| CYP3A4 inhibitors (ketoconazole, ritonavir, clarithromycin, erythromycin) | Increased sildenafil plasma levels; prolonged effect | Reduce dose to 25mg; max 25mg with ritonavir |
| Grapefruit / grapefruit juice | CYP3A4 inhibition — elevated sildenafil levels | Avoid within 4 hours of dosing |
| CYP3A4 inducers (rifampicin, carbamazepine) | Reduced sildenafil efficacy | Dose adjustment may be needed; consult GP |
| Other PDE5 inhibitors (tadalafil, vardenafil, avanafil) | Additive effect; increased adverse events | Do not combine |
| Alcohol (>2 standard Canadian drinks) | Additive hypotension; impairs erectile function | Limit alcohol intake |
Contraindications
- Current use of any organic nitrate or nitric oxide donor
- Current use of riociguat (Adempas)
- Severe hepatic impairment (Child-Pugh Class C)
- Recent stroke, MI or life-threatening arrhythmia (within 90 days)
- Unstable angina or angina during sexual intercourse
- Severe hypotension (systolic BP below 90 mmHg) or uncontrolled hypertension
- Hereditary degenerative retinal disorders including retinitis pigmentosa (PDE6)
- Previous episode of NAION
- Hypersensitivity to sildenafil citrate or any capsule excipient
- Persons under 18 years of age; women; children
Manufacturer — Fortune Healthcare
Fildena Super Active is manufactured by Fortune Healthcare Pvt. Ltd., an Indian pharmaceutical company holding WHO Good Manufacturing Practice (GMP) certification. Fortune Healthcare is the originator of the Fildena brand — a distinct manufacturer from Ajanta Pharma (Kamagra brand), though both meet the same WHO-GMP quality standards. Fortune Healthcare supplies generic pharmaceutical products to regulated markets internationally. The sildenafil citrate in Fildena is bioequivalent to the active ingredient in Viagra (Pfizer/Viatris) — same molecule, same dose, same clinical efficacy.
Frequently Asked Questions
What is Fildena Super Active and how is it different from regular Fildena?
Fildena Super Active is the soft gelatin capsule (SGC) format of sildenafil 100mg by Fortune Healthcare. Regular Fildena products use a standard film-coated tablet. The active ingredient and dose are identical — the difference is the pharmaceutical form. The SGC pre-dissolves sildenafil in a lipid matrix, allowing faster gastric absorption (onset 20–30 min) compared to the standard tablet (30–60 min). Duration of action (4–6 hours) is the same for both.
How is Fildena Super Active different from Cialis Super Active?
Both are soft gelatin capsule formats with faster onset than their respective standard tablets. The critical difference is the active ingredient: Fildena Super Active contains sildenafil 100mg (4–6 hour duration, 24h nitrate gap, food-sensitive) while Cialis Super Active contains tadalafil 20mg (36-hour duration, 48h nitrate gap, not affected by food). The choice between them depends on desired duration and lifestyle factors rather than efficacy — both are equally effective for erectile dysfunction.
Is Fildena Super Active the same as Viagra Super Active?
Yes, clinically. Both are sildenafil 100mg in soft gelatin capsule form with the same mechanism, onset range, duration and side effect profile. The difference is the manufacturer: Fildena Super Active is produced by Fortune Healthcare; Viagra Super Active formulations are marketed under various generic brand names. Both are bioequivalent to original Viagra.
Why does the capsule have to be swallowed whole?
The SGC format relies on the intact gelatin shell delivering the sildenafil-lipid matrix to the stomach as a unit. If the capsule is opened or chewed, the lipid matrix disperses before reaching the stomach and the fast-onset advantage is lost — the sildenafil behaves more like a powder dose than a pre-dissolved solution. Swallow the capsule whole with water.
Can I take Fildena Super Active daily?
Standard on-demand sildenafil dosing — including the SGC format — is designed for use as needed, up to once per 24 hours. Daily sildenafil use is clinically possible (Viagra is approved at 25mg daily for pulmonary arterial hypertension) but requires a physician's assessment for erectile dysfunction. For daily ED treatment, tadalafil 5mg daily (Cialis daily dose) is the more commonly prescribed option, as its longer half-life is better suited to continuous dosing. Discuss with your GP or telehealth provider.
This product page was reviewed by Dr. Sarah Mitchell, RPh, Ontario College of Pharmacists #234567 (Canadian Pharmacists Association). Information is for general guidance only and does not constitute personalised medical or pharmaceutical advice. Sildenafil is a prescription-only medication in Canada — consult your physician or pharmacist before use.
