Store sildenafil tablets and oral film at room temperature, between 20°C and 25°C (68°F and 77°F). Store sildenafil reconstituted oral suspension below 30°C (86°F) or in a refrigerator between 2°C to 8°C (36°F to 46°F).
Throw away the reconstituted oral suspension after 60 days. Active ingredient: sildenafil citrateInactive ingredients: dextrose and water for injection. Contains no ingredients made from gluten-containing grain (eg, wheat, barley, or rye). Revatio is distributed by Pfizer Labs, Division of Pfizer Inc., NY, NY 10017.
Take sildenafil tablet or oral suspension 3 times a day, about 4 to 6 hours apart. Take at approximately the same times every day. Sildenafil oral suspension will be mixed for you by your pharmacist. Do not mix with other medicines or flavorings. Shake the oral suspension (liquid) before you measure a dose.
Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). When sildenafil is used for ED, it is used as needed, so you are not likely to miss a dose. If you are taking sildenafil for PAH and you miss a dose, take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time. If you take too much sildenafil, call your doctor or go to the nearest hospital emergency room.
Drinking alcohol with sildenafil can cause side effects. Grapefruit juice and products may interact with sildenafil, leading to unwanted side effects. Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor. Tell your healthcare provider about all the medicines you take, including prescription and over-the-countermedicines, vitamins, and herbal supplements. Sildenafil may affect the way other medicines work, and other medicines may affect the way sildenafil works, causing side effects. Viagra sildenafil oral solution is distributed by Pfizer Labs, Division of Pfizer Inc., NY, NY 10017. It is distributed by: IBSA Pharma Inc, Parsippany, NJ 07054 USA. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Anacardic acid (6-pentadecylsalicylic acid), a major component of cashew nut shell liquid, consists of a heterogeneous mixture of monoenes, dienes, and trienes. The enes mixture of anacardic acid was hydrogenated to a saturated compound. Using saturated anacardic acid as a starting material, analogues of sildenafil [a potent phosphodiesterase-5 (PDE5) inhibitor and an orally active drug for the treatment of erectile dysfunction] were synthesized, to observe the effect of the pentadecyl side chain on PDE5 inhibition. The synthesized compounds were characterized by spectral studies and tested for PDE5 inhibition, and the results were compared with those obtained with sildenafil. Keywords: Anacardic acid; cashew nut shell liquid; sildenafil; PDE5 inhibitor; erectile dysfunction This article is cited by 31 publications. Nanorod-Engineered Sm2O3 Modified Screen-Printed Carbon Electrodes for Electrochemical Sensing of Sildenafil, Nitrite, and Paracetamol. ACS Applied Nano Materials 2026, 9 (3) , 1412-1424. Design, Synthesis, and Evaluation of Cytotoxic Effects of Functional Fatty Acid Derivatives as Potential Antineoplastic Agents for Breast Cancer. Iranian Journal of Pharmaceutical Research 2025, 24 (1) Nature’s Impostors: Electrochemical Detection of Sildenafil in Natural Products. Highly sensitive colorimetric and paper-based detection for sildenafil in functional food based on monodispersed spherical magnetic graphene composite nanozyme.
| Country/Region | Approval Status | Regulatory Body | Prescription Requirement | Additional Regulations |
|---|---|---|---|---|
| USA | Approved | FDA | Prescription Required | Controlled substance |
| EU | Approved | EMA | Prescription Required | Marketed under strict regulations |
| Canada | Approved | Health Canada | Prescription Required | Pharmacovigilance measures |
Synthesis of sildenafil and its derivatives bearing pyrazolo‐pyrimidinones scaffold. Bulletin of the Korean Chemical Society 2024, 45 (9) , 759-763.
Synthesis of pyrazolo-azepinone derivatives via Morita–Baylis–Hillman chemistry as potent antimicrobial agents.
| Drug Type | Interaction Effect | Recommended Action | Risks |
|---|---|---|---|
| Nitrates | Severe hypotension | Avoid concurrent use | Potential cardiovascular collapse |
| CYP3A4 inhibitors | Increased plasma levels | Dose adjustment | Risk of increased side effects |
| Alpha-blockers | Dizziness, hypotension | Monitor closely | Additive blood pressure lowering |
New Journal of Chemistry 2024, 48 (6) , 2608-2623. Anacardic acid isolated from cashew nut shells liquid: A potential precursor for the synthesis of anthraquinone dyes.
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Exhaustive valorization of cashew nut shell waste as a potential bioresource material. Cashew Nut Shell Liquid (CNSL) as a Source of Drugs for Alzheimer’s Disease.
An erection sildenafil tablet manforce 50 mg will not occur just by taking a pill. During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of sildenafil. Take sildenafil oral film (Vybrique) exactly as your healthcare provider tells you to take it. Your healthcare provider will tell you how much sildenafil to take and when to take it.
Take sildenafil by mouth about 1 hour before sexual activity. You may take sildenafil between 30 minutes and 4 hours before sexual activity if needed. Do not take more than once a day. If you take too much sildenafil, call your healthcare provider or go to the nearest hospital emergency room right away. Do not remove the film from the pouch unless ready for immediate use.
Do not handle the oral film with wet hands. See the Vybrique Prescribing Information for more information about how to take sildenafil oral film. Take sildenafil exactly as it was prescribed for you. Follow all directions on your prescription label and read all medication guides or instruction sheets. Do not change your dose or stop taking this medicine on your own. Chandi C. Malakar, Virender Singh, Nisha Devi, Antriksh Gupta, Raghuram Gujjarappa. Synthesis of Pyrazolo[4,3-c]quinolines and the C-C Bond Cleavage during Reductive Cyclization.
Tell your doctor about all other medications you use for sildenafil for women erectile dysfunction. Ask your healthcare provider or pharmacist for a list of these medicines if you are not sure. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine. Other drugs may interact with sildenafil, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here. La(OTf) 3 -catalysed one-pot synthesis of pyrazole tethered imidazo[1,2- a ]azine derivatives and evaluation of their light emitting properties. New Journal of Chemistry 2020, 44 (3) , 684-694. Molecular evaluation of anti-inflammatory activity of phenolic lipid extracted from cashew nut shell liquid (CNSL).
| Step | Description | Equipment Used | Quality Control Measures |
|---|---|---|---|
| Synthesis | Chemical synthesis of sildenafil citrate | Reactors, mixers | Purity testing, purity > 99% |
| Drying | Removal of solvents | Rotary evaporator | Moisture content analysis |
| Packaging | Filling into bottles or blisters | Filling machines | Seal integrity, labeling accuracy |
BMC Complementary and Alternative Medicine 2018, 18 (1) Nisha Devi, Asim K.
Especially tell your healthcare provider if you take: Nitrates for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure Alpha-blockers are sometimes prescribed for prostate problems orhigh blood pressure. In some patients, the use of sildenafil with alpha-blockers can lead to a drop in blood pressure or fainting Other drugs to treat high blood pressure or a prostate disorder Medicines to treat HIV, such as protease inhibitors, such as ritonavir and saquinavir Some types of oral antifungal medicines, such as ketoconazole and itraconazole Some types of antibiotics, such as erythromycin Other medicines that treat high blood pressure Medicines or treatments for ED, such as avanafil (Stendra), tadalafil (Cialis), or vardenafil (Levitra). Jana, Virender Singh.
To make sure sildenafil is safe for you, tell your healthcare provider about all your medical conditions, including if you have: Or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure Had heart surgery within the last 6 months Low blood pressure, or high blood pressure that is not controlled A physical deformity of the penis (such as Peyronie's disease) Been told you should not have sexual intercourse for health reasons and you are a male Had an erection that lasted for more than 4 hours Problems with your blood cells, such as sickle cell anemia, multiple myeloma, or leukemia Retinitis pigmentosa, a rare genetic (runs in families) eye disease Ever had severe vision loss, including an eye problem called non-arteritic anterior ischemic optic neuropathy (NAION) Kidney problems or are having kidney dialysis Are pregnant or intending to become pregnant (for patients with PAH) Are breastfeeding or intending to breastfeed (for patients with PAH). Sildenafil for ED is not approved for males <18 years old. Sildenafil is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. Women with pulmonary arterial hypertension should not stop taking sildenafil without talking to their doctor if they discover they are pregnant.
It is not known whether sildenafil passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breastfeeding a baby. Women with pulmonary arterial hypertension should not stop taking sildenafil without talking to their doctor. Take sildenafil oral tablets exactly as your healthcare provider tells you to take it. Your healthcare provider will tell you how much to take and when to take it.
Your healthcare provider may change your dose if needed. You may take sildenafil between 30 minutes to 4 hours before sexual activity if needed. If you take sildenafil after a high-fat meal (such as a cheeseburger and fries), sildenafil may take a little longer to start working. If you accidentally take too much sildenafil, call your doctor or go to the nearest hospital emergency room right away. Sildenafil can help you have an erection when sexual stimulation occurs. Assessment of novel pyrazolopyridinone fused imidazopyridines as potential antimicrobial agents. Karbala International Journal of Modern Science 2018, 4 (1) , 164-170. An Expeditious Approach for the Synthesis of β‐Carboline−Pyrazole‐Based Molecular Hybrids. Asian Journal of Organic Chemistry 2018, 7 (2) , 383-394.