Extement Chewable Sildenafil (50mg & 100mg): How It Works, How to Take It & Price

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.
- Time it: take it roughly 1 hour before sex. It can work from 30 minutes, and the effect usually lasts 4 to 5 hours.
- Chew it fully: chew the tablet and swallow. No water is needed.
- 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.
- Allow arousal: Extement only works with sexual stimulation.
- Stick to one dose: do not take more than one dose in 24 hours, even if the first one seems weak.
- 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
- Start an online consultation with a licensed Malaysian doctor.
- Answer a few health questions so the doctor can confirm Extement is safe for you.
- Get your prescription for the right strength.
- 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.

