Sildenafil

Sildenafil 25mg, 50mg, 100mg
Sildenafil is a medication primarily used to treat erectile dysfunction by increasing blood flow to the penis, facilitating an erection in response to sexual stimulation. It works by inhibiting an enzyme called phosphodiesterase type 5 (PDE5), which leads to improved erectile function. Additionally, Sildenafil is also prescribed for pulmonary arterial hypertension to improve exercise capacity and hemodynamics in both men and women. It is essential to consult a healthcare provider before use to ensure safety and appropriate dosing.
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Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor used primarily to treat erectile dysfunction (ED) and pulmonary arterial hypertension (PAH). It enhances blood flow to the penis during sexual stimulation, helping to achieve and maintain an erection. Additionally, it relaxes blood vessels in the lungs to improve exercise capacity in individuals with PAH.
Uses / Indications
- Erectile dysfunction (impotence)
- Pulmonary arterial hypertension (inhabitants with certain types of heart and lung conditions)
- Improvement of exercise capacity in pulmonary hypertension patients
Dosage and Administration
Adults:
For erectile dysfunction: 50 mg taken as needed, approximately 1 hour before sexual activity. The dose may be adjusted between 25 mg and 100 mg based on efficacy and tolerability.
Pulmonary arterial hypertension:
20 mg taken three times a day, taken at approximately 4- to 6-hour intervals.
Note: Dosage may vary based on individual medical conditions and should be determined by a healthcare professional.
How It Works (Mechanism of Action)
Sildenafil works by selectively inhibiting the enzyme phosphodiesterase type 5 (PDE5), leading to increased levels of cyclic guanosine monophosphate (cGMP) in the corpus cavernosum of the penis. This causes relaxation of smooth muscle and dilation of blood vessels, facilitating enhanced blood flow and an erection in response to sexual stimulation.
Side Effects
Common side effects:
- Headache
- Flushing
- Indigestion
- Nasal congestion
- Dizziness
Rare/serious side effects:
- Vision changes (e.g., sudden blindness or blue-tinted vision)
- Hearing loss
- Priapism (painful erection lasting longer than 4 hours)
- Severe allergic reactions (rash, swelling, difficulty breathing)
Seek medical attention if serious side effects occur.
Precautions / Warnings
- Tell your doctor if you have heart disease, low blood pressure, or a history of strokes.
- Use caution when taking with other medications that affect blood pressure.
- Avoid using in conjunction with nitrates or other medications for chest pain.
Drug Interactions
May interact with:
- Nitrates (may lead to dangerous decreases in blood pressure)
- Certain antibiotics and antifungals
- Alpha-blockers (may enhance blood pressure-lowering effects)
- Other medications for erectile dysfunction
Always inform your healthcare provider about any other medications or supplements you’re taking.
Storage Instructions
- Store at room temperature (20°C–25°C / 68°F–77°F)
- Keep away from moisture, heat, and direct light
- Keep out of reach of children
Missed Dose / Overdose
Missed a dose?
Take it as soon as you remember. If it’s almost time for your next scheduled dose, skip the missed one. Do not double up.
Overdose symptoms:
- Severe dizziness
- Fainting
- Prolonged erection (priapism)
- Sudden vision loss
Contact a poison control center or seek emergency medical help immediately.
Contraindications
- Allergic to Sildenafil or any of its components
- Patients taking nitrates or other similar medications
Brand Names / Alternatives
- Viagra
- Revatio (for pulmonary hypertension)
- Generic name: Sildenafil