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Sildenafil

Also known as: sildenafil citrate, Viagra, Revatio

Classification

Pharmaceutical

Regulatory Status

FDA-approved prescription product

Sources

2

Review

n/a

Overview

Sildenafil inhibits phosphodiesterase type 5 (PDE5), increasing cGMP and promoting smooth-muscle relaxation in the corpus cavernosum and pulmonary vasculature as described in product labeling.

Evidence and limitations

Human/preclinical evidence breakdown is not available in this record.

Pathways

nitric-oxide-cGMPvascular-smooth-muscle-relaxationPDE5 inhibitioncGMP-mediated vasodilationPDE5

Benefits

FDA-approved sildenafil products (e.g., Viagra) are labeled for erectile dysfunction. Educational reference only.

FDA-approved sildenafil products (e.g., Revatio) are labeled for pulmonary arterial hypertension as specified in product labeling. Educational reference only.

Interactions & cautions

nitrates

organic nitrates (e.g., nitroglycerin) — Profound hypotension; potentially fatal. (high)

riociguat — Hypotension risk. (high)

strong CYP3A4 inhibitors — Increased exposure and adverse effects. (review)

These are observational flags for review, not individualized instructions.

Sources

Educational reference only — not medical advice.

What people report (anecdote)

CLINICAL DATA (from trials)

Adverse events:

None recorded in our sources.

Effects measured:

Human trials: none found.

ANECDOTE

What people report: anecdote, not evidence

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Sildenafil: what the evidence actually says | BioStack