What is Cobra 200 Mg?
Cobra 200 Mg refers to tablets containing 200 mg of sildenafil citrate, a phosphodiesterase type 5 (PDE5) inhibitor primarily used to treat erectile dysfunction (ED) in men.
It’s a higher-dose formulation of sildenafil, the active ingredient in Viagra, and is prescribed for those who need stronger effects. Approved for ED since the late 1990s, it’s supported by clinical trials showing improved erectile function in 60-80% of users.
Note: It’s not for recreational use and requires a prescription due to cardiovascular risks.
Manufacturer
Cobra 200 Mg is manufactured by Sunrise Remedies Pvt. Ltd., an Indian pharmaceutical company. It’s available in India and exported to various countries.
Generic versions of sildenafil 200 mg may be produced by other companies like Cipla or Ranbaxy, but always check the packaging for authenticity, as counterfeit products are common.
Composition
Each Cobra 200 Mg tablet contains:
- Active Ingredient: Sildenafil citrate (200 mg).
- Inactive Ingredients: Typically include microcrystalline cellulose, calcium phosphate, magnesium stearate, and film-coating agents. Some formulations may include lactose or dyes—check for allergies.
Working
Sildenafil works by inhibiting PDE5, an enzyme that breaks down cyclic guanosine monophosphate (cGMP) in the penis.
- Mechanism: During sexual arousal, nitric oxide releases cGMP, relaxing blood vessels and increasing blood flow to the penis, leading to an erection. Sildenafil prolongs this effect, enhancing erectile response.
- Efficacy: Clinical studies (e.g., in Journal of Urology) show it improves erections in 70-85% of men with ED, with effects lasting 4-6 hours. It’s effective for ED caused by vascular, psychological, or mixed factors.
How to Use Cobra 200 Mg?
- Take orally with a full glass of water, about 30-60 minutes before sexual activity.
- It can be taken with or without food, but avoid high-fat meals, which may delay onset.
- Do not crush, chew, or break the tablet—swallow whole.
- Use only as needed; do not exceed one dose per day.
- Sexual stimulation is required for it to work.
Dosage
- Standard Dose: 200 mg as needed, but start with 100 mg if new to sildenafil; max 200 mg/day.
- Adjustments: Lower doses (50-100 mg) for the elderly, liver/kidney issues, or side effects. Not for daily use unless prescribed (e.g., for pulmonary hypertension).
- Duration: Effects last 4-6 hours; do not combine with other ED drugs.
Warnings and Precautions
- Consult a doctor if you have heart disease, low blood pressure, a recent stroke, or liver/kidney problems.
- Avoid if taking nitrates (e.g., for angina) or alpha-blockers, as it can cause dangerous drops in blood pressure.
- Regular check-ups for cardiovascular health; monitor blood pressure.
- Not for women or children; use cautiously in men over 65.
- Interactions: With CYP3A4 inhibitors (e.g., ketoconazole) or grapefruit juice, which can increase levels.
Benefits
- Primary Benefits: Improves the ability to achieve and maintain erections for satisfactory sexual activity.
- Additional Benefits: May help with pulmonary arterial hypertension (off-label at lower doses); boosts confidence and quality of life in ED patients.
- Evidence: Backed by trials like those in the New England Journal of Medicine, showing significant improvements in IIEF scores (erectile function questionnaire).
Avoid Taking Cobra 200 Mg
- If you have severe heart conditions, uncontrolled hypertension, or a recent heart attack.
- With recreational drugs like amyl nitrite (“poppers”) or other PDE5 inhibitors.
- If allergic to sildenafil or experiencing priapism (prolonged erection).
- During pregnancy/breastfeeding (not applicable for men, but avoid if planning to conceive with potential partners).
- Do not use for non-ED purposes without a prescription.
Side Effects
Common side effects (affecting 10-30% of users):
- Headache, flushing, or nasal congestion.
- Indigestion or dizziness.
- Mild vision changes (e.g., blue tint).
Serious side effects (seek immediate help):
- Priapism (erection lasting >4 hours—medical emergency).
- Sudden vision/hearing loss.
- Chest pain or irregular heartbeat.
- Allergic reactions (rash, swelling).
Side effects are usually mild and temporary; report to a doctor if persistent.
Where to Store
- Store in a cool, dry place at room temperature (15-25°C/59-77°F), away from moisture and direct sunlight.
- Keep in the original blister pack to prevent exposure.
- Out of reach of children and pets.
- Do not refrigerate; discard expired tablets safely.
Conclusion
Cobra 200 Mg is an effective treatment for erectile dysfunction, providing reliable improvements in sexual function when used appropriately. However, it carries risks, especially for those with cardiovascular issues, and must be used under medical supervision.
Lifestyle factors like exercise and diet can enhance its benefits. If experiencing ED, consult a urologist for proper evaluation and prescription to ensure safety.
FAQS
Can Cobra 200 Mg be taken daily?
No, it’s for as-needed use; daily low-dose versions exist for other conditions like PAH.
Does it work for women?
Not approved for female sexual dysfunction; some off-label use, but efficacy is limited.
How long does it take to work?
Usually 30-60 minutes, but up to 2 hours with food.
Is it safe with alcohol?
Moderate alcohol is okay, but excessive alcohol can reduce effectiveness and increase side effects.
What if it doesn’t work?
Consult a doctor; underlying causes like diabetes or hormones may need addressing.

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