- Generic name
- Sildenafil
- Class
- PDE5 inhibitor
- Mechanism
- During sexual stimulation, PDE5 inhibition enhances nitric oxide effects by reducing cGMP breakdown in the corpus cavernosum, supporting smooth-muscle relaxation and blood inflow. Recommended doses have no effect in the absence of sexual stimulation.
- Used for
- Erectile dysfunction
- Common side effects
- Headache; Flushing; Dyspepsia; Abnormal vision; Nasal congestion
- Warnings
- Nitrates or guanylate-cyclase stimulators such as riociguat are contraindicated; Prolonged erection or priapism: seek emergency medical help for an erection lasting more than 4 hours; Stop use and seek medical care for sudden vision loss or sudden decrease/loss of hearing
- Interactions
- Nitrates; Alpha-blockers / antihypertensives; CYP3A4 inhibitors (ritonavir)
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Source snapshot checked: 2026-10-21. The source document and selected fields were compared. The complete card has not had an independent clinical review.