What is Extement?

Extement is a chewable form of sildenafil, the same active ingredient found in Viagra, used to treat erectile dysfunction (ED) in adult men. It comes in two strengths, 50mg and 100mg, and is mint-flavoured so you can chew it without water.

That makes it a discreet option for men who find swallowing tablets inconvenient, or who want treatment that fits more naturally into the moment. Like all sildenafil products in Malaysia, Extement is a prescription medicine, so a doctor needs to confirm it is safe for you first.

Get Extement through DoctorOnCall: consult a licensed doctor online, get your prescription, and have it delivered discreetly to your door.

How does Extement work?

Extement improves blood flow to the penis so an erection is easier to get and keep, but only when you are sexually aroused. It does not cause an erection on its own and does not increase sex drive.

Sildenafil belongs to a class of medicines called PDE5 inhibitors. During arousal, the body releases a chemical that relaxes the blood vessels in the penis. An enzyme called PDE5 normally breaks this signal down; sildenafil blocks that enzyme, so the vessels stay relaxed and blood flow increases.

Most men notice the effect within 30 to 60 minutes, and it typically lasts around 4 to 5 hours.

What makes the chewable format different?

Extement contains the same medicine as regular sildenafil tablets; the difference is how you take it. You chew it, it tastes of mint, and you do not need water.

• No water needed: take it anywhere, without reaching for a glass.
• Easier to take: a practical choice for men who dislike or struggle with swallowing tablets.
• More discreet: a minty chewable is less noticeable than taking a pill with water.
• Same active ingredient: it works the same way as sildenafil tablets and carries the same precautions.

The chewable format changes convenience, not strength or safety. Your doctor will decide whether it suits you based on your health, not just your preference.

Extement 50mg vs 100mg: which strength is right?

Most men start on 50mg, and the doctor may move to 100mg if the effect is not strong enough and the medicine is well tolerated.

	Extement 50mg	Extement 100mg
Typical use	Usual starting dose for most adult men	For men who need a stronger effect after trying 50mg
Who it suits	First-time users, men with milder ED	Men with good tolerance but limited response to 50mg
Side effects	Generally milder	More likely, as side effects rise with dose
Maximum	One dose per 24 hours	One dose per 24 hours (100mg is the maximum daily dose)

Some men need a lower dose, for example older men or those with certain liver or kidney conditions or taking certain other medicines. Never adjust the strength yourself; ask your doctor.

How to take Extement

Chew one Extement about an hour before sexual activity, no more than once a day.

1. Time it: take it roughly 1 hour before sex. It can work from 30 minutes, and the effect usually lasts 4 to 5 hours.
2. Chew it fully: chew the tablet and swallow. No water is needed.
3. Watch heavy meals: a high-fat meal can delay how quickly it starts working. A light meal or an empty stomach gives a faster effect.
4. Allow arousal: Extement only works with sexual stimulation.
5. Stick to one dose: do not take more than one dose in 24 hours, even if the first one seems weak.
6. Limit alcohol: heavy drinking can make it harder to get an erection and may worsen side effects such as dizziness.

If it does not work the first time, try again on a different occasion. Many men need a few attempts before the effect is consistent. If it still does not work, speak to your doctor rather than increasing the dose.

Extement vs regular sildenafil tablets (Iqnyde, Viagra)

All three contain sildenafil and work the same way; the main difference is that Extement is chewed without water while Iqnyde and Viagra are swallowed with water.

	Extement	Iqnyde	Viagra
Active ingredient	Sildenafil	Sildenafil	Sildenafil
Format	Mint-flavoured chewable	Tablet, swallowed	Tablet, swallowed
Water needed	No	Yes	Yes
Strengths covered here	50mg, 100mg

Side effects and who should not take Extement

Most side effects are mild and fade within a few hours, but some men must not take sildenafil at all.

Common side effects

• Headache
• Facial flushing
• Indigestion
• Blocked or runny nose
• Dizziness
• Temporary changes in vision, such as a blue tinge or blurring

Seek urgent medical help if you have

• An erection lasting more than 4 hours (priapism)
• Sudden loss or decrease of vision or hearing
• Chest pain, fainting or an irregular heartbeat during or after sex
• Signs of an allergic reaction, such as swelling of the face or difficulty breathing

Do not take Extement if you

• Take nitrates (such as glyceryl trinitrate for angina) or use “poppers” (amyl nitrite)
• Take riociguat for pulmonary hypertension
• Have been advised that sexual activity is unsafe for your heart
• Have had a recent stroke or heart attack, or have very low blood pressure
• Have had vision loss from NAION (a problem with blood flow to the optic nerve)
• Are allergic to sildenafil

Tell your doctor if you take alpha-blockers for blood pressure or prostate problems, other ED medicines, certain antifungals, antibiotics or HIV medicines, or if you have liver or kidney disease. These may need a lower dose or a different treatment.

Extement price in Malaysia

On DoctorOnCall, Extement 50mg starts from RM[XX] and Extement 100mg from RM[XX] per [pack size], including a doctor consultation.

Strength	Pack size	Price on DoctorOnCall
Extement 50mg	[X tablets]	RM[XX]
Extement 100mg	[X tablets]	RM[XX]

Be cautious of Extement or any sildenafil sold without a prescription on marketplaces. Counterfeit ED medicines are common and may contain the wrong dose or harmful ingredients.

How to buy Extement on DoctorOnCall

1. Start an online consultation with a licensed Malaysian doctor.
2. Answer a few health questions so the doctor can confirm Extement is safe for you.
3. Get your prescription for the right strength.
4. Receive it discreetly in plain packaging, delivered to your door.

Frequently asked questions

What is Extement 100mg used for?

Extement 100mg is a chewable sildenafil used to treat erectile dysfunction in adult men. It is usually prescribed when 50mg has not given a strong enough effect.

Is Extement the same as Viagra?

Extement and Viagra contain the same active ingredient, sildenafil, and work the same way. Extement is a mint-flavoured chewable taken without water, while Viagra is a tablet swallowed with water.

How long before sex should I take Extement?

Take Extement about 1 hour before sexual activity. It can start working in 30 minutes, and the effect typically lasts 4 to 5 hours.

Do I need water to take Extement?

No. Extement is designed to be chewed and swallowed without water.

Can I take Extement every day?

You can take at most one dose in 24 hours. It is meant to be taken when needed, not as a daily routine, unless your doctor advises otherwise.

Can I drink alcohol with Extement?

A small amount is usually fine, but heavy drinking can reduce its effect and increase side effects such as dizziness and low blood pressure.

Do I need a prescription for Extement in Malaysia?

Yes. Extement is a prescription medicine. You can get a prescription through an online consultation on DoctorOnCall.

How much does Extement cost in Malaysia?

On DoctorOnCall, Extement 50mg starts from RM[XX] and 100mg from RM[XX], including a doctor consultation.

Caliberi and Cialis contain the same active ingredient: tadalafil. The difference is the format. Cialis is a tablet you swallow with water. Caliberi is a thin oral film that dissolves on the tongue.

The short answer: neither is more effective. The film is more convenient and discreet; the tablet comes in more strengths and has a longer track record. For most men, the deciding factors are format preference and price per dose.

What is the same

Both products work the same way once the tadalafil is absorbed. Tadalafil is a PDE5 inhibitor that improves blood flow to the penis in response to sexual stimulation. It does not cause an erection on its own.

• Duration: tadalafil remains effective for up to 36 hours after a dose
• Food: can be taken with or without a meal
• Prescription: both require a doctor’s assessment before supply
• Safety profile: the same side effects, interactions and precautions apply to both

What is different

	Caliberi film	Cialis tablet
Active ingredient	Tadalafil	Tadalafil
Format	Oral film, dissolves on the tongue	Film-coated tablet
Water needed	No	Yes
————	————

2.5 mg, 5 mg, 10 mg, 20 mg

Pack size

Discreet, on-the-go use; men who dislike swallowing tablets

Daily low-dose use; men who need a specific strength

Taking it. The film is placed on the tongue and left to dissolve, so it can be taken anywhere without water. The tablet is swallowed whole with water.

Speed. A film dissolves faster in the mouth, but that does not mean it works faster. Tadalafil is still absorbed mainly through the gut, so onset is broadly similar for both formats. Plan to take either at least 30 minutes before sexual activity.

Price per dose. Compare the cost of one dose, not the cost of one box. Pack sizes differ, so a cheaper box is not always the cheaper option.

Which one suits you

Choose Caliberi film if you want something discreet to carry, prefer not to swallow tablets, or often need a dose away from home.

Choose Cialis tablets if your doctor recommends daily low-dose tadalafil, you need a specific strength, or you prefer an established brand.

If one format is already working well for you, there is no clinical reason to switch.

Safety notes

The same precautions apply to both formats:

• Do not take tadalafil with nitrates (such as glyceryl trinitrate for chest pain) or riociguat. The combination can cause a dangerous drop in blood pressure.
• Do not take more than one dose in 24 hours, and do not combine the film and the tablet.
• Common side effects include headache, flushing, indigestion, back pain and nasal congestion.
• Seek urgent medical help for an erection lasting more than 4 hours, or sudden loss of vision or hearing.

Tell your doctor about any heart, liver or kidney condition and all medicines you take before starting either product.

Frequently asked questions

Is Caliberi the same as Cialis?

It contains the same active ingredient, tadalafil, in a different format. Cialis is a tablet; Caliberi is an oral film.

Does the film work faster than the tablet?

Not meaningfully. The film dissolves faster in the mouth, but tadalafil is absorbed at a similar rate from both. Take either at least 30 minutes before sexual activity.

Can I switch from Cialis to Caliberi?

Yes, with your doctor’s agreement. Your doctor will confirm the equivalent strength.

Do I need a prescription?

Yes. Both are prescription medicines and are supplied after a consultation with a licensed doctor.

Caliberi is tadalafil in the form of a thin film that dissolves on the tongue, taken without water. It comes in two strengths: 5mg for once-daily use and 20mg for use as needed. Both require a doctor’s prescription in Malaysia.

Quick answer: how to use Caliberi

• Place one film on the tongue with dry fingers and let it dissolve. No water is needed.
• Caliberi 20mg: take at least 30 minutes before sexual activity. No more than one film per day.
• Caliberi 5mg: take one film at the same time every day.
• Effect can last up to 36 hours. Sexual stimulation is still required.

What is Caliberi oral film?

Caliberi contains tadalafil, a PDE5 inhibitor used to treat erectile dysfunction (ED). It is the same active ingredient as Cialis, delivered as an orodispersible film instead of a tablet.

Tadalafil relaxes the smooth muscle in the blood vessels of the penis. This allows more blood flow when a man is sexually aroused. It does not cause an erection on its own and does not increase sexual desire.

The film format suits men who:

• Have difficulty swallowing tablets
• Want to take a dose without water
• Prefer a slim, discreet sachet that fits in a wallet

Caliberi 5mg vs 20mg: which is right for you?

The difference is how you take it, not just the dose. 20mg is taken before sex; 5mg is taken every day so you do not need to plan.

	Caliberi 5mg	Caliberi 20mg
How it is taken	Once daily, same time each day	As needed, before sexual activity
Timing	Not linked to sexual activity	At least 30 minutes before
Maximum dose	One film per day	One film per day
Suited to	Men who have sex twice a week or more, or prefer not to plan	Men who have sex occasionally
Other uses	May also be prescribed for urinary symptoms of an enlarged prostate (BPH)	ED only

Your doctor decides the strength based on your health, other medicines and how often you expect to need it. Do not split or combine films to change the dose.

How to use Caliberi oral film

The film dissolves in seconds on the tongue and is swallowed with saliva. Follow these steps for both strengths.

1. Make sure your hands are dry. Moisture can make the film stick to your fingers or tear.
2. Tear open the sachet along the notch. Remove one film just before taking it.
3. Place the film on top of your tongue.
4. Let it dissolve fully. Do not chew it or swallow it whole.
5. Swallow with your saliva. Water is not required.

How should I use Caliberi 5mg? Take one film at around the same time each day, with or without food. If you miss a dose, take it when you remember, but do not take two films on the same day.

How should I use Caliberi 20mg? Take one film at least 30 minutes before sexual activity. Do not take it more than once in 24 hours.

Avoid large amounts of alcohol, which can lower blood pressure and make dizziness more likely. Grapefruit juice can raise tadalafil levels in the blood.

How fast does Caliberi work and how long does it last?

Caliberi 20mg can start working within 30 minutes, and its effect can last up to 36 hours. This long window is why tadalafil is often chosen over shorter-acting ED medicines.

The film dissolves faster than a tablet, but it is absorbed into the body at a similar rate. Expect it to work on the same timeline as tadalafil tablets, not instantly.

With Caliberi 5mg, the medicine builds up to a steady level over about 5 days of daily use. After that, you can respond to sexual stimulation at any time of day without planning a dose.

Who should not take Caliberi

Do not take Caliberi if you use nitrates (such as glyceryl trinitrate or isosorbide for chest pain) or riociguat. The combination can cause a dangerous drop in blood pressure.

Speak to a doctor first if you have:

• Heart disease, or a heart attack or stroke in the last 6 months
• Very low or uncontrolled high blood pressure
• Severe liver or kidney problems
• Sudden vision loss in the past, or a deformity of the penis
• Ongoing use of alpha-blockers, some antifungals, HIV medicines or certain antibiotics

Common side effects

Most side effects are mild and short-lived. They include headache, indigestion, back or muscle pain, flushing and a blocked nose.

Seek medical help immediately for an erection lasting more than 4 hours, sudden loss of vision or hearing, or chest pain during sex.

Caliberi price in Malaysia

Caliberi is available on DoctorOnCall at the prices below. Prices are current as of the date shown and may change.

Product	Pack size	Price on DOC	Price per film
Caliberi 5mg oral film	[X films]	RM [XX]	RM [XX]
Caliberi 20mg oral film	[X films]	RM [XX]	RM [XX]

How to buy Caliberi online

Caliberi is a prescription medicine. On DoctorOnCall, a licensed doctor reviews your health details before your order is dispensed.

1. Select Caliberi 5mg or 20mg on the product page.
2. Complete a short online consultation with a DOC doctor.
3. Once approved, a registered pharmacist dispenses your order.
4. Delivery arrives in discreet packaging nationwide.

Frequently asked questions

Do I need water to take Caliberi?

No. The film dissolves on the tongue and is swallowed with saliva.

Is Caliberi the same as Cialis?

Both contain tadalafil. Cialis is a tablet; Caliberi is an oral film that dissolves on the tongue.

Can I take Caliberi 20mg every day?

No more than one film in 24 hours. For daily use, your doctor may prescribe the 5mg strength instead.

Can I take Caliberi with food or alcohol?

It can be taken with or without food. Limit alcohol, as heavy drinking raises the risk of dizziness and low blood pressure.

Do I need a prescription for Caliberi in Malaysia?

Yes. On DoctorOnCall, a doctor reviews your consultation before the medicine is dispensed.

What happens if I take two films by mistake?

You may have stronger side effects such as headache or dizziness. Contact a doctor or pharmacist for advice.

Get Caliberi through a doctor consultation

Not sure whether 5mg or 20mg suits you? Start an online consultation and a DOC doctor will recommend the right option for your health and routine.

If you’ve seen Tadigra priced well below Cialis, you may be asking an obvious question: what am I giving up for the lower price? The answer is less than most people expect. Tadigra and Cialis contain the same active ingredient, tadalafil. They also work the same way in the body. The real differences are the brand name, the manufacturer and the price. This guide covers all three. It also explains who makes Tadigra, since that’s one of the most common questions buyers ask.

What Is Tadigra?

Tadigra is a generic form of tadalafil, the medicine used to treat erectile dysfunction (ED). It is made by Novugen, a pharmaceutical manufacturer based in Malaysia. Novugen produces generic medicines for the regional market.

“Generic” means the medicine contains the same active ingredient as the original brand. It comes in the same dose and works in the same way. Generics usually cost less because the manufacturer didn’t spend years on original research and clinical trials. Those costs were already covered by the company that developed the first version.

Tadigra is available in [STRENGTHS – confirm, e.g. 5 mg / 20 mg].

What Is Cialis?

Cialis is the original brand of tadalafil, developed by Eli Lilly. It has been prescribed for erectile dysfunction for over two decades. In the 5 mg daily dose, it is also used for symptoms of an enlarged prostate (BPH). Its long track record is why many men see it as the benchmark.

Tadigra vs Cialis: Is It the Same Medicine?

In the way that matters clinically, yes. Both contain tadalafil, a PDE5 inhibitor. Tadalafil improves blood flow to the penis when you are sexually aroused. It doesn’t cause an erection by itself, and it doesn’t increase sex drive.

Before a generic can be registered for sale, the manufacturer has to show that it is bioequivalent to the original. That means it delivers the same amount of active ingredient into the bloodstream at a comparable rate. Health regulators review this data before approval, so a registered generic is expected to perform like the brand.

What can differ is the inactive ingredients: fillers, binders and coatings. That is why the tablets may look different in colour, shape or size. In rare cases, someone may react to a particular excipient. If you have known allergies, check the ingredient list or ask a pharmacist.

	Tadigra	Cialis
Active ingredient	Tadalafil	Tadalafil
Manufacturer	Novugen (Malaysia)	Eli Lilly
How it works	PDE5 inhibitor	PDE5 inhibitor
Duration of effect	Up to 36 hours	Up to 36 hours
Strengths	[CONFIRM]	2.5 mg, 5 mg, 10 mg, 20 mg
Price per tablet	[S$ X.XX]	[S$ X.XX]

How Long Does Tadalafil Last?

This is tadalafil’s main advantage over other ED medicines, and it applies to Tadigra and Cialis equally. One dose can stay effective for up to 36 hours. That’s why tadalafil is often called “the weekend pill.” You don’t need to time a dose around one exact moment.

Most men take it at least 30 minutes before sexual activity. Unlike some alternatives, tadalafil works just as well with or without food.

Side Effects: Any Difference?

Because the active ingredient is the same, the side effect profile is the same. The most commonly reported side effects are headache, indigestion, back pain, muscle aches, facial flushing and a blocked nose. They are usually mild and fade as the medicine wears off.

Tadalafil is not safe for everyone, whichever brand you choose. Don’t take it if you use nitrate medicines for chest pain (such as glyceryl trinitrate spray or isosorbide). Don’t take it with riociguat either. The combination can cause a dangerous drop in blood pressure. Speak to a doctor first if you have heart disease, low blood pressure, liver or kidney problems, or take alpha-blockers. Seek urgent medical help for an erection lasting more than four hours, or for sudden loss of vision or hearing.

Price per Tablet: Where Tadigra Wins

The biggest practical difference is cost. At current DoctorOnCall pricing:

• Tadigra [strength]: [S$ X.XX] per tablet
• Cialis [strength]: [S$ X.XX] per tablet

That’s a saving of about [X]% per dose. Men who use tadalafil regularly, or who take a daily low dose, can save a significant amount over a year.

So, Is Tadigra as Good as Cialis?

For most men, Tadigra offers the same active ingredient, the same mechanism and the same 36-hour window as Cialis, at a lower price. The extra cost of Cialis mainly pays for the brand and its long history. It doesn’t buy a stronger or different medicine.

Some men still prefer the original for peace of mind, and that’s a valid choice. If cost is a factor, a registered generic like Tadigra is a clinically sound alternative.

Get Tadalafil Safely

Tadalafil is a prescription medicine. A doctor should check that it’s right for you, especially if you have heart conditions or take other medicines. With DoctorOnCall, you can speak to a licensed doctor online and get your medicine delivered discreetly.

FAQ

Who makes Tadigra?
Tadigra is made by Novugen, a pharmaceutical manufacturer based in Malaysia.

Can I switch from Cialis to Tadigra?
Most men can switch at the same dose, because the active ingredient is the same. Check with your doctor or pharmacist first.

Is Tadigra a fake or copy of Cialis?
No. It’s a registered generic. It contains the same active ingredient and has to meet regulatory standards for quality and bioequivalence.

Why does Tadigra look different from Cialis?
Generics use different inactive ingredients and tablet designs. This doesn’t change how the tadalafil works.

Tadigra 5mg contains tadalafil, the same active ingredient used worldwide to treat erectile dysfunction (ED). At 5mg, it’s designed to be taken once a day, every day, not just before sex. That changes how it works, what it costs per month, and what to expect in your first weeks.

This guide covers what happens when you take tadalafil daily, how long 5mg stays effective, the side effects worth knowing, and how the 30-tablet box compares with the 3-box bundle on cost.

What Is Tadigra 5mg?

Tadigra 5mg is a tadalafil tablet. Tadalafil belongs to a class of medicines called PDE5 inhibitors. These relax the smooth muscle in blood vessel walls and improve blood flow to the penis when you’re sexually aroused.

Two things to know up front:

1. It doesn’t cause an erection on its own. You still need sexual stimulation. Tadalafil makes it easier for your body to respond.
2. 5mg is the daily-dose strength. Higher strengths (10mg, 20mg) are typically used “on demand” before sex. The 5mg tablet is built for continuous, once-a-day use.

What Happens If You Take Tadalafil Every Day?

Daily tadalafil keeps a steady level of the medicine in your bloodstream. Tadalafil has a long half-life of around 17.5 hours, so a once-daily dose builds up to a consistent level, usually within about 5 days of regular use.

In practice, that means:

• No planning around sex. You don’t need to time a tablet hours beforehand. You can respond whenever the moment happens.
• More consistent results. Many men find daily dosing gives more predictable performance than taking a tablet occasionally.
• A lower dose each day. You take a smaller amount daily instead of a larger dose when needed, which some men tolerate better.

Give it time. Daily tadalafil isn’t designed for an instant effect on day one. Most men are assessed after a few weeks of consistent use.

Daily 5mg Is Also Prescribed for Prostate Symptoms

Tadalafil 5mg once daily is also an approved treatment for benign prostatic hyperplasia (BPH), an enlarged prostate. BPH causes urinary symptoms such as a weak stream, frequent urination, and waking at night to pee. Some men have both ED and BPH symptoms, and a single daily 5mg dose can address both. Your doctor will confirm whether this applies to you.

How Long Is 5mg of Tadalafil Effective?

A single dose of tadalafil can remain active for up to 36 hours, which is why it’s sometimes called “the weekend pill.”

With daily 5mg dosing, the effect is effectively continuous. Each dose tops up your level before the previous one wears off, so you stay within the active range around the clock, as long as you take it every day.

Tips for best results:

• Take it at roughly the same time every day, with or without food.
• If you miss a dose, take it when you remember, but never take two tablets in one day.
• Heavy alcohol use can make it harder to get an erection and increases the risk of dizziness and low blood pressure.

Tadigra 5mg Side Effects

Most side effects are mild and often ease after the first few weeks. Common ones include:

• Headache
• Indigestion or heartburn
• Back pain or muscle aches
• Facial flushing
• Blocked or runny nose

Seek urgent medical help if you experience:

• An erection lasting more than 4 hours (priapism)
• Sudden loss or reduction of vision in one or both eyes
• Sudden hearing loss or ringing in the ears
• Chest pain, fainting, or severe dizziness

Who Should Not Take Tadigra

Tadalafil is not safe if you take nitrates (such as glyceryl trinitrate or isosorbide, often used for chest pain) or riociguat. Combining them can cause a dangerous drop in blood pressure.

Your doctor will also need to know if you:

• Have heart disease, or have had a heart attack or stroke
• Have low or uncontrolled high blood pressure
• Have liver or kidney problems
• Take alpha-blockers, certain antifungals, HIV medicines, or some antibiotics

This is why a doctor’s assessment matters before you start.

Tadigra 5mg Price: 30s Box vs 3-Box Bundle

Because 5mg is taken every day, the number that matters is monthly cost, not price per box. One 30-tablet box covers one month.

Option	Supply	Price	Per tablet	Monthly cost
Tadigra 5mg, 30s box	30 days	SGD [XX]	SGD [X.XX]	SGD [XX]
Tadigra 5mg, 3-box bundle	90 days	SGD [XX]	SGD [X.XX]	SGD [XX]

The bundle advantage: you pay less per month and have three months of uninterrupted supply. That matters for a medicine that works best when you never miss a dose.

How to Get Tadigra 5mg in Singapore

Tadalafil is a prescription medicine. With DoctorOnCall, you can:

1. Consult a licensed doctor online about your symptoms and medical history.
2. Get a prescription if Tadigra 5mg daily is suitable for you.
3. Order through the DoctorOnCall pharmacy and have it delivered discreetly.

Frequently Asked Questions

What happens if I take tadalafil every day?
Daily tadalafil builds a steady level in your body over about 5 days. This lets you respond to sexual stimulation at any time without planning a dose. Daily 5mg is also used to treat urinary symptoms of an enlarged prostate.

How long is 5mg of tadalafil effective?
A single dose can stay active for up to 36 hours. With daily dosing, the effect is continuous as long as you take one tablet every day.

Can I take Tadigra 5mg only when I need it?
5mg is designed for daily use. If you prefer occasional dosing, your doctor may recommend a different strength.

Is it safe to take tadalafil long term?
Daily tadalafil is prescribed for long-term use in suitable patients. Your doctor should review your treatment periodically, especially if your health or other medicines change.

Can I drink alcohol with Tadigra?
Moderate drinking is generally fine for most people. Heavy drinking increases the risk of dizziness and low blood pressure, and can make erections harder to get.

Tadigra is a tadalafil tablet made in Malaysia by Novugen. It is used to treat erectile dysfunction (ED), and in some strengths, the urinary symptoms of an enlarged prostate (benign prostatic hyperplasia, or BPH). It comes in two strengths, 5mg and 20mg, and they are meant to be used in different ways. This guide explains the difference, what each strength costs, and how to take Tadigra safely.

Tadigra 5mg vs 20mg at a glance

	Tadigra 5mg	Tadigra 20mg
Active ingredient	Tadalafil 5mg	Tadalafil 20mg
How it is taken	Once daily, at about the same time each day	As needed, before sexual activity
Main use	ED in men who expect frequent sexual activity; BPH symptoms	ED, on-demand use
Spontaneity	No planning around a dose	Plan around a dose; effect can last up to 36 hours
Maximum frequency	One tablet per day	One tablet per day
Price	[RM XX] for [pack size]	[RM XX] for [pack size]
Buy	[Link: Tadigra 5mg product page]	[Link: Tadigra 20mg product page]

What is Tadigra?

Tadigra contains tadalafil, a phosphodiesterase type 5 (PDE5) inhibitor. It relaxes the smooth muscle in the blood vessels of the penis, which allows more blood flow when a man is sexually aroused. It does not cause an erection on its own, and it does not increase sexual desire. The same mechanism relaxes muscle in the prostate and bladder, which is why low-dose tadalafil is also used for BPH symptoms.

Tadigra is a locally manufactured tadalafil product. It contains the same active ingredient as the original branded tadalafil.

What is Tadigra 5mg used for?

Tadigra 5mg is a daily-dose tablet. Taken once a day, it keeps a steady level of tadalafil in the body, so a man can respond to sexual stimulation at any time without timing a tablet. It is commonly considered for:

• Men with ED who anticipate sexual activity twice a week or more
• Men who prefer not to plan sexual activity around a dose
• Men with BPH symptoms, such as frequent urination, weak flow or night-time urination, with or without ED

Daily dosing usually takes several days of regular use to reach full effect.

What is Tadigra 20mg used for?

Tadigra 20mg is an on-demand tablet. It is taken before anticipated sexual activity and can remain effective for up to 36 hours, which is longer than most other ED medicines. It is suited to men who have sexual activity less frequently and prefer to take medicine only when needed.

Some men start on a lower on-demand dose. The right strength depends on response, tolerability, other medicines and health conditions, so it should be confirmed by a doctor or pharmacist.

Which strength is right for you?

Choose the format that fits your routine, then let a healthcare professional confirm the strength.

Tadigra 5mg suits men who want ongoing readiness, have sexual activity regularly, or also have prostate-related urinary symptoms.

Tadigra 20mg suits men who have sexual activity occasionally and prefer to take a tablet only when needed.

Do not split or combine tablets to change your dose unless a doctor or pharmacist has advised it. Do not take Tadigra 5mg and 20mg on the same day.

How to take Tadigra

Tadigra 5mg (daily): Take one tablet at roughly the same time every day, with or without food. Swallow it whole with water. If you miss a dose, take it when you remember, but do not take two doses in one day.

Tadigra 20mg (as needed): Take one tablet at least 30 minutes before sexual activity, with or without food. Sexual stimulation is still needed for it to work. Do not take more than one tablet in 24 hours.

For both strengths, avoid heavy alcohol intake, which can lower blood pressure and reduce the effectiveness of treatment. Large amounts of grapefruit juice can also raise tadalafil levels in the blood.

Who should not take Tadigra

Tadigra is not suitable for everyone. Do not take it if you:

• Use nitrate medicines for chest pain (such as glyceryl trinitrate or isosorbide mononitrate) or recreational “poppers”
• Take riociguat for pulmonary hypertension
• Have been advised to avoid sexual activity because of a heart condition
• Have had a recent heart attack or stroke, or have very low blood pressure
• Have had sudden vision loss caused by reduced blood flow to the optic nerve (NAION)

Tell your doctor or pharmacist if you take alpha-blockers for blood pressure or prostate symptoms, certain antifungals or HIV medicines, or have kidney or liver disease. These may require a lower dose or a different treatment.

Possible side effects

Common side effects include headache, indigestion, back pain, muscle aches, facial flushing and a blocked nose. These are usually mild and short-lived.

Seek urgent medical help if you experience an erection lasting more than four hours, sudden loss of vision or hearing, chest pain, or fainting.

Tadigra price in Malaysia

Product	Pack size	Price on DoctorOnCall
Tadigra 5mg	[X tablets]	[RM XX]
Tadigra 20mg	[X tablets]	[RM XX]

Prices are correct as of [date] and may change. Orders are reviewed by a licensed pharmacist before dispensing.

Frequently asked questions

What is Tadigra 5mg used for?
Tadigra 5mg is taken once daily to treat erectile dysfunction in men who expect frequent sexual activity. It is also used to relieve urinary symptoms caused by an enlarged prostate.

Is tadalafil stronger than Viagra?
Not necessarily. Tadalafil and sildenafil (the active ingredient in Viagra) show comparable effectiveness in clinical studies. The main difference is duration: tadalafil can work for up to 36 hours, while sildenafil typically lasts around four to five hours. Tadalafil is also less affected by food.

Can I take Tadigra 20mg every day?
On-demand 20mg tablets are not intended for routine daily use. If you need treatment most days, a daily low-dose option such as Tadigra 5mg may be more appropriate. Speak to a doctor or pharmacist before changing how you take it.

How long does Tadigra take to work?
Tadigra 20mg usually starts working within 30 minutes to two hours. Tadigra 5mg taken daily typically reaches full effect after about five days of regular use.

Is Tadigra the same as Cialis?
Both contain tadalafil as the active ingredient. Tadigra is manufactured in Malaysia by Novugen; Cialis is the original branded product.

Iqnyde is a prescription medicine for erectile dysfunction (ED). It contains sildenafil 100mg, the same active ingredient as Viagra, and is manufactured in Malaysia. If you’ve been prescribed Iqnyde or are considering it, this guide covers how it works, how to take it correctly, the side effects to expect, and who should avoid it.

What is Iqnyde used for?

Iqnyde treats erectile dysfunction in adult men. Sildenafil belongs to a class of medicines called PDE5 inhibitors, which relax the blood vessels in the penis and increase blood flow when you are sexually aroused.

Iqnyde does not cause an erection on its own. Sexual stimulation is still needed. It also does not increase libido, protect against sexually transmitted infections, or act as contraception.

How should I take Iqnyde 100mg?

• Timing: Take one tablet about 1 hour before sexual activity. It can work anywhere from 30 minutes to 4 hours after you take it.
• Frequency: No more than one dose in 24 hours.
• Food: Iqnyde can be taken with or without food, but a heavy or high-fat meal can delay its effect. For the fastest onset, take it on an empty stomach or after a light meal.
• Alcohol: Heavy drinking can make ED worse and increases the risk of dizziness and low blood pressure. Keep alcohol to a minimum.
• Grapefruit: Avoid grapefruit juice, which can raise sildenafil levels in the blood.

Your doctor may recommend a lower strength (such as 50mg or 25mg) if you are over 65, have liver or kidney problems, or take certain other medicines. Never adjust your dose without medical advice.

What are the side effects of Iqnyde?

Most side effects are mild and short-lived. Common ones include:

• Headache
• Facial flushing
• Indigestion
• Blocked or runny nose
• Dizziness
• Temporary changes in vision, such as a blue tinge or sensitivity to light

Seek urgent medical help if you experience:

• An erection lasting more than 4 hours (priapism)
• Sudden loss or decrease of vision in one or both eyes
• Sudden hearing loss or ringing in the ears
• Chest pain, irregular heartbeat, or fainting during or after sex

Who should not take Iqnyde?

Do not take Iqnyde if you:

• Use any nitrate medicine (e.g. glyceryl trinitrate or isosorbide for angina) or recreational “poppers”. The combination can cause a dangerous drop in blood pressure.
• Take riociguat for pulmonary hypertension
• Have had a heart attack or stroke recently, or have severe heart disease
• Have very low blood pressure
• Have severe liver disease
• Have a history of vision loss from reduced blood flow to the optic nerve (NAION) or an inherited eye condition such as retinitis pigmentosa

Tell your doctor if you take alpha-blockers for blood pressure or prostate problems, HIV protease inhibitors, or certain antifungal or antibiotic medicines, as these can interact with sildenafil.

Iqnyde vs Viagra: what’s the difference?

Iqnyde and Viagra contain the same active ingredient, sildenafil, at the same 100mg strength. They work the same way, take effect in the same timeframe, and carry the same side effects and precautions.

The main differences are brand and price. Viagra is the original branded product, while Iqnyde is a locally manufactured generic. Generics must meet the same quality, safety, and efficacy standards before they are approved for sale in Malaysia, which typically makes them a more affordable option for ongoing treatment.

For a deeper look at how generic sildenafil compares to the original, read our guide to Generic Viagra (Sildenafil 100mg).

Get Iqnyde with a doctor’s prescription

Sildenafil is a prescription-only medicine in Malaysia. Speak to a licensed doctor on DoctorOnCall to check whether Iqnyde is right for you, then have it delivered discreetly to your door.

Iqnyde is a locally manufactured sildenafil tablet by Pharmaniaga, and it’s one of the most affordable prescription options for erectile dysfunction (ED) in Malaysia. If you’re comparing it against Pfizer’s Viagra, the short answer is that you get the same active ingredient, at the same strengths, for a lower price per tablet.

Iqnyde Price at a Glance

Product	Strength	Pack size	Pack price	Price per tablet
Iqnyde	50mg	[X] tablets	RM[XX]	RM[XX]
Iqnyde	100mg	[X] tablets	RM[XX]	RM[XX]
Viagra (Pfizer)	50mg	[X] tablets	RM[XX]	RM[XX]
Viagra (Pfizer)	100mg	[X] tablets	RM[XX]	RM[XX]

Prices are based on DoctorOnCall as of [month 2026] and may change. Iqnyde requires a valid prescription.

What Is Iqnyde?

Iqnyde contains sildenafil citrate, the same active ingredient as Viagra. It belongs to a class of medicines called PDE5 inhibitors. They work by increasing blood flow to the penis in response to sexual stimulation. It is manufactured in Malaysia by Pharmaniaga and registered with the National Pharmaceutical Regulatory Agency (NPRA).

Iqnyde does not cause an erection on its own. Sexual stimulation is still needed, and it does not increase sexual desire.

Iqnyde 50mg vs 100mg: Price Difference

The 100mg tablet costs RM[XX] per tablet, compared with RM[XX] for 50mg. That makes 100mg roughly [X]% more expensive per tablet, but it delivers double the dose.

The right strength is a clinical decision, not a cost one. Most men start on 50mg. A doctor may increase this to 100mg if 50mg isn’t effective, or lower it to 25mg if side effects are an issue. Taking more than one dose in 24 hours does not improve results and raises the risk of side effects.

Iqnyde vs Viagra: How Much Can You Save?

	Iqnyde 100mg	Viagra 100mg
Active ingredient	Sildenafil citrate	Sildenafil citrate
Manufacturer	Pharmaniaga (Malaysia)	Pfizer
Price per tablet	RM[XX]	RM[XX]
Cost of [8] tablets	RM[XX]	RM[XX]
Prescription required	Yes	Yes

At these prices, choosing Iqnyde over Viagra saves about RM[XX] per tablet, or RM[XX] on a [8]-tablet supply.

Why is Iqnyde cheaper?

Viagra is the original branded sildenafil, and its price reflects Pfizer’s brand and research costs. Iqnyde is a generic. It contains the same active ingredient at the same strength, and it must meet NPRA standards before it can be sold in Malaysia. Generics don’t carry the original developer’s brand premium, which is why they cost less.

How to Take Iqnyde

Take one tablet about one hour before sexual activity, with or without food. A heavy, high-fat meal can delay how quickly it starts working. The effect typically lasts around four hours. Do not take more than one dose a day.

Common side effects

These include headache, facial flushing, indigestion, nasal congestion, dizziness and temporary changes in vision, such as a blue tint. Seek urgent medical help for an erection lasting more than four hours, sudden vision or hearing loss, or chest pain.

Who should not take Iqnyde

Do not take Iqnyde if you take nitrates (such as glyceryl trinitrate for chest pain) or riociguat, or if you have been advised to avoid sexual activity because of a heart condition. Tell your doctor if you take alpha-blockers, certain HIV or antifungal medicines, or have liver, kidney or eye conditions.

Where to Buy Iqnyde in Malaysia Safely

Iqnyde is a prescription-only medicine. Avoid buying sildenafil from unlicensed websites, social media sellers or night markets. Counterfeit ED pills are common and may contain the wrong dose or harmful ingredients.

On DoctorOnCall, you can consult a licensed Malaysian doctor online. If Iqnyde is suitable for you, the prescription goes straight to our pharmacy, and your medicine is delivered in discreet packaging.

Frequently Asked Questions

How much is Iqnyde 100mg in Malaysia?
Iqnyde 100mg costs RM[XX] for [X] tablets on DoctorOnCall, or about RM[XX] per tablet.

Is Iqnyde the same as Viagra?
Both contain sildenafil citrate at the same strengths. Iqnyde is a generic made by Pharmaniaga, and Viagra is Pfizer’s original brand.

Do I need a prescription for Iqnyde?
Yes. Iqnyde is a prescription-only medicine in Malaysia. You can get a prescription through an online consultation with a licensed doctor.

Should I take 50mg or 100mg?
Your doctor will decide. Most men start on 50mg and adjust based on how well it works and whether they get side effects.

Can I drink alcohol with Iqnyde?
Heavy drinking can make ED worse and increase dizziness or low blood pressure. Keep alcohol to a minimum.

Introduction

Premature ejaculation (PE) is one of the most common sexual concerns in men, and it is treatable. Studies commonly estimate that around 1 in 5 to 1 in 3 men experience it at some point.

Many men in Malaysia never raise it with a doctor because it feels embarrassing. That is a missed opportunity: simple techniques, topical products and prescription medicine can all help, and the right option depends on the cause.

This guide explains what counts as PE, why it happens, the treatment options available in Malaysia, and how to speak to a doctor privately online.

What counts as premature ejaculation?

PE means ejaculating sooner than you or your partner would like, most or all of the time, with little ability to delay it, and feeling distressed or frustrated as a result. Finishing early now and then, especially with a new partner or after a long break, is normal and not PE.

Doctors usually describe two types:

Type	What it looks like
Lifelong (primary)	Present since your first sexual experiences; ejaculation usually happens within about 1 minute of penetration
Acquired (secondary)	Develops later after previously normal control; time often drops to about 3 minutes or less

Knowing which type you have helps a doctor choose the right treatment, since acquired PE often has an underlying cause worth treating.

What causes premature ejaculation?

PE usually has more than one cause, and psychological and physical factors often feed each other.

• Psychological: performance anxiety, stress, depression, relationship problems, or early experiences of rushing sex.
• Biological: differences in serotonin signalling in the brain, a more sensitive penis, or inherited traits, especially in lifelong PE.
• Medical: erectile dysfunction (rushing to finish before losing an erection), prostate inflammation, thyroid problems, or withdrawal from certain medicines.

A doctor can help spot causes that need their own treatment, such as erectile dysfunction or prostatitis.

Premature ejaculation treatment options in Malaysia

Most men improve with one option or a combination. A doctor will usually start with the simplest approach that fits your situation.

Option	How it works	Good to know
Behavioural techniques	Train control through practice	No side effects; takes a few weeks of consistent practice
Numbing sprays and creams	Reduce penile sensitivity	Available without prescription; can numb your partner if not wiped off or used with a condom
Prescription oral medicine	Acts on serotonin to delay ejaculation	Needs a doctor’s assessment; not suitable for everyone
Counselling or sex therapy	Addresses anxiety and relationship factors	Works well alongside other treatments

Behavioural techniques

The stop-start technique involves stimulation until you feel close to ejaculating, stopping until the urge passes, then starting again. The squeeze technique is similar, but you or your partner gently squeeze the head of the penis to reduce the urge. Pelvic floor (Kegel) exercises strengthen the muscles involved in ejaculation and may improve control over time.

Numbing sprays and creams

Topical anaesthetics containing lidocaine or prilocaine are applied to the penis shortly before sex to lower sensitivity. Follow the product instructions, wipe off any excess or use a condom, and stop if you notice irritation. Some condoms also contain a mild numbing agent.

Prescription oral medicine

Dapoxetine (sold as Priligy) is a short-acting medicine developed specifically for PE. It is taken on demand before planned sex, as directed by a doctor. Common side effects include nausea, dizziness and headache, and it is not suitable for men with certain heart, liver or mental health conditions, or who take some other medicines. Doctors may also consider other medicines in some cases.

Because these are prescription medicines, a doctor needs to check your health history before prescribing.

Treating underlying causes

If erectile dysfunction, prostatitis or a thyroid problem is contributing, treating that condition often improves PE too.

When to see a doctor

Speak to a doctor if PE happens most of the time, is affecting your confidence or relationship, or has not improved after a few weeks of self-help techniques.

See a doctor sooner if you also notice:

• Difficulty getting or keeping an erection
• Pain when urinating or ejaculating, or blood in your semen
• PE that started suddenly after a new medicine or illness

A doctor’s assessment is also needed before starting any prescription treatment.

Get treated discreetly with DoctorOnCall

You do not need to sit in a clinic waiting room to get help. With DoctorOnCall, you can speak to a Malaysian-registered doctor online, privately, from home.

1. Book an online consultation and share your concerns confidentially.
2. Get assessed for the cause of your PE and any related conditions, such as erectile dysfunction.
3. Receive a treatment plan suited to you. If medicine is appropriate, the doctor can prescribe it and it can be delivered to your door in discreet packaging.

Prefer to start with self-care? Explore our [PE care kit] for non-prescription options such as numbing sprays.

Frequently asked questions

Can premature ejaculation be cured permanently?

Many men see lasting improvement, especially with acquired PE once the cause is treated. Lifelong PE is usually managed rather than cured, and treatment works well for most men.

Do PE sprays work?

Numbing sprays can help some men last longer by reducing sensitivity. Results vary, and they work best when applied as directed.

Is dapoxetine available in Malaysia?

Dapoxetine is a prescription medicine in Malaysia. A doctor needs to assess you to decide whether it is suitable.

Can I get premature ejaculation treatment online?

Yes. You can consult a Malaysian-registered doctor online through DoctorOnCall, and if medicine is suitable, it can be prescribed and delivered to you.

Is premature ejaculation linked to erectile dysfunction?

They often occur together. Some men rush to finish because they worry about losing their erection, so treating erectile dysfunction can also improve PE.

Should my partner be involved?

It can help. Techniques like stop-start and squeeze work well with a partner, and talking openly can reduce the anxiety that makes PE worse.

What is Priligy?

Priligy is the brand name for dapoxetine, a short-acting medicine used to treat premature ejaculation in men aged 18 to 64. It works by increasing serotonin activity in the nervous system, which helps delay ejaculation.

Unlike daily medicines in the same class, Priligy is taken only when needed, before sexual activity. It is a prescription medicine in Malaysia, so a doctor needs to assess you before it can be supplied.

Priligy 30mg vs 60mg at a glance

Both strengths contain the same medicine and are taken the same way. The difference is the dose, and who it suits.

	Priligy 30mg	Priligy 60mg
Role	Starting dose for all new users	Step-up dose if 30mg is not enough
Who it suits	First-time users, men sensitive to side effects	Men who tolerated 30mg but saw too little benefit
When to take	1 to 3 hours before sex	1 to 3 hours before sex
Maximum frequency	Once in 24 hours	Once in 24 hours
Side effects	Less frequent	More frequent, especially nausea and dizziness
Needs doctor review first	Yes, before starting	Yes, before increasing

Never take two 30mg tablets together to make 60mg unless a doctor has told you to.

How to take Priligy

1. Take one tablet 1 to 3 hours before you expect to have sex.
2. Swallow it whole with at least one full glass of water. This lowers the chance of fainting.
3. Take it with or without food. A light meal may help if it makes you feel sick.
4. Avoid alcohol. Alcohol with Priligy increases dizziness, drowsiness and the risk of fainting.
5. Do not take more than one tablet in 24 hours, whatever the strength.
6. Do not drive or operate machinery if you feel dizzy or drowsy after taking it.

If you feel light-headed after a dose, lie down with your head low or sit with your head between your knees until it passes. Fainting is uncommon, but it is the most important side effect to know about.

How long does Priligy take to work and how long does it last?

Priligy is absorbed quickly and reaches its highest level in the blood about 1 hour after you take it. That is why the recommended window is 1 to 3 hours before sex, not immediately before.

Its main effect is short-lived: blood levels fall by more than 95% within 24 hours, so it does not build up in your body with occasional use. Plan each dose around the time you expect to have sex rather than taking it the night before.

Results often improve over the first few uses. Doctors usually suggest trying at least 6 doses over about 4 weeks before judging whether the current strength is working.

When a doctor may move you to 60mg

Your doctor may consider 60mg only when both of these are true:

• 30mg has not delayed ejaculation enough after a fair trial of several doses
• You have had no troublesome side effects on 30mg, particularly no dizziness or fainting

The doctor will also check that nothing has changed in your health or medicines since you started. If 60mg causes side effects, going back to 30mg is usually the next step. Treatment is typically reviewed after 4 weeks, or 6 doses, and at least every 6 months after that.

Who should not take Priligy

Priligy is not suitable if you have:

• Heart problems such as heart failure, heart rhythm problems, significant coronary artery disease or heart valve disease
• A history of fainting
• A history of mania, bipolar disorder or severe depression
• Moderate or severe liver problems

It must not be combined with certain medicines, including:

• Antidepressants (SSRIs, SNRIs, tricyclics) and MAO inhibitors, or within 14 days of stopping an MAO inhibitor
• Lithium, linezolid, tramadol, triptans for migraine and St John’s wort
• Strong antifungal or antiviral medicines such as ketoconazole, itraconazole or ritonavir

Tell the doctor about every medicine and supplement you take, including erectile dysfunction treatments.

Possible side effects

Most side effects are mild and short-lived. The most common are nausea, dizziness, headache, diarrhoea, difficulty sleeping and tiredness. They are more frequent at 60mg than at 30mg.

Stop taking Priligy and seek medical help if you faint, have a seizure, or notice changes in mood such as agitation or low mood.

Frequently asked questions

Can I take Priligy every day?

No. Priligy is designed to be taken only when needed, at most once in 24 hours. It is not a daily medicine.

What happens if I take more than one tablet in 24 hours?

Taking more raises the risk of side effects such as fainting, without a meaningful added benefit. Contact a doctor if you have taken more than prescribed.

Is 60mg stronger than 30mg?

It is a higher dose of the same medicine. It may give a longer delay for some men, but it also causes more side effects, which is why everyone starts on 30mg.

Can I drink alcohol with Priligy?

It is best avoided. Alcohol increases dizziness and the risk of fainting.

Can I take Priligy with erectile dysfunction medicine?

Some men are prescribed both, but only a doctor should decide this after reviewing your health.

Do I need a prescription for Priligy in Malaysia?

Yes. Priligy is a prescription medicine, so a doctor must assess you before it is supplied.

Getting Priligy through DoctorOnCall

DoctorOnCall lets you speak with a licensed doctor online, confidentially, without a clinic visit. If Priligy is suitable for you, the doctor will prescribe the right strength and our pharmacy will deliver it discreetly to your door.

• Priligy 30mg: the recommended starting dose
• Priligy 60mg: for men a doctor has assessed as needing a higher dose