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| Country | Approved Use | Prescription Required | Maximum Allowed Dose | Notes |
|---|---|---|---|---|
| United States | Erectile Dysfunction | Yes | 100mg tablet max | 200mg often not approved OTC |
| European Union | Erectile Dysfunction | Yes | 100mg per dose | 200mg used only under medical supervision |
| Australia | Pulmonary Hypertension | Yes | Up to 200mg daily | Under special prescription |
| India | Both Uses | Yes | 200mg dose | Commonly available in pharmacies |
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Can I Take 200 mg of Sildenafil?
- Overdose of 200mg sildenafil can cause severe hypotension and priapism.
- Taking multiple 200mg tablets (e.g., 400mg) greatly increases danger.
- Symptoms: prolonged erection, chest pain, nausea, dizziness, fainting.
- Emergency treatment includes supportive care and possibly vasopressors.
- Priapism lasting >4 hours may require intracavernosal aspiration or surgery.
- Activated charcoal may be given if ingestion is recent.
- No specific antidote for sildenafil overdose exists.
- Dialysis is ineffective due to high protein binding of the drug.
- Always call poison control or go to ER if overdose is suspected.
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