Sildenafil (Viagra / Revatio)

Urology / Pulmonology (PDE5 Inhibitor)

Dosing & Administration

Adult Dose

ED: 50 mg PO 1 hour before sexual activity. PAH: 20 mg PO TID.

Pediatric Dose

PAH only (specialist dosing).

Renal Adjustment

CrCl < 30: Start at 25 mg for ED.

Hepatic Adjustment

Severe impairment: Start at 25 mg for ED.

Safety & Special Populations

Pregnancy Category

B

Lactation Safety

Compatible.

Contraindications & Adverse Effects

Contraindications

  • Concurrent use of nitrates (e.g., Nitroglycerin)
  • Riociguat use

Common Adverse Effects

  • Headache
  • Flushing
  • Priapism
  • Visual changes (blue tint)