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Sildenafil
Clinical data
Pronunciation/ s ɪ l ˈ d ɛ n ə f ɪ l / sil- DEN -ə-fil
Trade namesViagra, Revatio, others
AHFS/Drugs.comMonograph
MedlinePlusa699015
License dataEU  EMA:  by INN, US   FDA: Sildenafil
Pregnancy categoryAU: B1 US: B (No risk in non-human studies)
Routes of administrationBy mouth (tablets), IV
ATC codeG04BE03 ( WHO )
Legal status
Legal statusAU: S4 (Prescription only) CA : ℞-only UK: POM (Prescription only) US: ℞-only In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability41% (mean) [1]
Protein binding~96%
MetabolismLiver: CYP3A4 (major route), CYP2C9 (minor route)
MetabolitesN -desmethylsildenafil (~50% potency for PDE 5 )
Elimination half-life3–4 hours
ExcretionFeces (~80%), urine (~13%) [2]

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If Viagra is taken in this way, particularly in combination with non-prescribed drugs, there is an increased risk of significant side effects, some of which may be serious. That leads to a series of chemical reactions in the blood vessels of the penis that results in 6 times the blood flow getting trapped in the penis.

There is a good deal of trial and error in finding the right medicine, the most effective dose, and the plan that results in the fewest side effects. It is uncertain whether PDE5 inhibitors directly cause the vision loss.

A sudden drop in blood pressure can cause you to feel dizzy, faint, or have a heart attack or stroke. Recreational misuse Viagra is sometimes used for recreational rather than therapeutic purposes. The majority of men who do experience side effects, are not bothered enough to stop treatment.

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