Throw away any unused part 60 days after sildenafil oral suspension (PAH) was mixed. Talk with your pharmacist if you are not sure when this is.

2.3 Reconstitution of the Powder for Oral Suspension

Do not start, stop, or change the dose of any drug without checking with your doctor. Tell all of your health care providers that you take sildenafil oral suspension (PAH). This includes your doctors, nurses, pharmacists, and dentists. Avoid driving and doing other tasks or actions that call for you to be alert until you see how sildenafil oral suspension (PAH) affects you. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.

Who should not take sildenafil?

Be careful going up and down stairs. Talk with your doctor before you drink alcohol. Rarely, certain side effects like abnormal heartbeat, heart attack, stroke, bleeding sildenafil citrate tablets 50 mg in the lungs, and very bad high blood pressure have happened with sildenafil oral suspension (PAH). Most of the time, these problems happened in people who had heart problems before taking sildenafil oral suspension (PAH). It is not known if sildenafil oral suspension (PAH) caused these problems.

Inclement Weather

If you have questions, talk with the doctor. A very bad eye problem has rarely happened with sildenafil oral suspension (PAH). This may lead to a change in eyesight and sometimes loss of eyesight, which may not come back. If you have sickle cell disease, talk with your doctor. If you are 65 or older, use sildenafil oral suspension (PAH) with care. Keep all drugs in a safe place.

Product Dosage Quantity + Bonus Price
Viagra Generic100mg90 + 6 Pills129.02€ 122.88€
Kamagra100mg180 + 6 Pills436.79€ 415.99€
Kamagra Polo100mg84 + 4 Pills244.49€ 232.85€
Kamagra Oral Jelly100mg63 + 7 Sachets224.18€ 213.50€
Viagra Generic25mg270 + 8 Pills184.26€ 175.49€
Viagra Generic50mg270 + 8 Pills198.48€ 189.03€
Kamagra Polo100mg272 + 12 Pills622.94€ 593.28€
Kamagra Soft Tabs100mg12 Pills57.55€ 54.81€
Viagra Generic25mg60 + 4 Pills71.99€ 68.56€
Viagra Generic200mg120 + 8 Pills204.80€ 195.05€
Kamagra100mg32 Pills121.24€ 115.47€

Keep all drugs out of the reach of children and pets.

Country Approval Status Regulatory Body Remarks
United States Approved for pulmonary hypertension, off-label for ED FDA Prescription medication
European Union Approved with similar indications EMA Prescription required
India Approved for ED and pulmonary hypertension CDSCO Over the counter in some regions
Canada Approved, prescription-only Health Canada Strict prescribing guidelines

Do not flush down a toilet or pour down a drain unless you are told to do so.

Overdose/Missed Dose

This medicine is not approved for use in children. A higher rate of death has been seen in children as the dose of sildenafil oral suspension (PAH) gets higher. However, your child's doctor may decide the benefits of taking sildenafil oral suspension (PAH) may outweigh the risks. If your child has been given sildenafil oral suspension (PAH), talk with the doctor for information about the benefits and risks. Talk with the doctor if you have questions about giving sildenafil oral suspension (PAH) to your child.

How it works

Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding. You will need to talk about the benefits and risks to you and the baby. Use sildenafil oral suspension (PAH) as ordered by your doctor. Keep taking sildenafil oral suspension (PAH) as you have been told by your doctor or other health care provider, even if you feel well. Use the measuring device that comes with sildenafil oral suspension (PAH).

Dosage Forms and Strengths

Take a missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not take 2 doses at the same time or extra doses. WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Check with your pharmacist if you have questions about the best way to throw out drugs.

8. Use In Specific Populations

If you take sildenafil after you eat a high-fat meal, such as a burger and fries, it may take longer to start working. Your healthcare provider may recommend limiting or avoiding grapefruit while taking sildenafil. Grapefruit or grapefruit juice can raise sildenafil levels in your body, which can increase the risk of side effects. There are no known interactions between sildenafil and alcohol. Always tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using.

Missed Dose

In particular, make sure that you discuss if you are using any of the following before taking sildenafil. Tell your healthcare provider about all medicines that you take or have recently taken. This may not be a complete list of medicines that can interact with sildenafil. If you or someone else has used too much sildenafil, get medical help right away, call 911, or contact a Poison Control center at 800-222-1222. For this use, sildenafil is used only when needed.

8.5 Geriatric Use

Take it as your healthcare provider recommends, which is usually between 30 minutes to four hours before planned sexual activity. For this use, take sildenafil as your healthcare provider recommends, which is usually three times a day. If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and only take the next dose. Ask your healthcare provider if you are unsure what to do after a missed dose. There may be drug take-back programs in your area.

Uses of Sildenafil Oral Suspension:

Chest pain or pressure or a fast heartbeat. A heartbeat that does not feel normal. Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight. Ringing in the ears, hearing loss, or any other changes in hearing. Trouble breathing sildenafil pink pill that is new or worse. If your symptoms or health problems do not get better or if they become worse, call your doctor.

  • Investigational drugs or supplements claim to mimic sildenafil effects.
  • The safety of homemade sildenafil syrup is not guaranteed.
  • Pharmacovigilance involves monitoring adverse effects.
  • Patients should inform providers of all medications taken.
  • Regulatory oversight ensures quality and efficacy of medications.

Do not share your drugs with others and do not take anyone else's drugs.

  • Sildenafil has been investigated for alternative uses like altitude sickness.
  • The syrup form is rarely available in commercial pharmacies.
  • Reactions to sildenafil can vary based on individual health.
  • Do not share sildenafil syrup with others to avoid adverse effects.
  • Always adhere to prescribed dosages to prevent health risks.

Some drugs may have another patient information leaflet.

Society and culture

This survey is being conducted by the WebMD marketing sciences department. Generic name: Sildenafil Oral Suspension (PAH) [ sil-DEN-a-fil ] Drug classes: Agents for pulmonary hypertension, Impotence medications It is used to treat high blood pressure in the lungs. It may be given to you for other reasons. If you have an allergy to sildenafil or any other part of sildenafil oral suspension (PAH). If you are allergic to sildenafil oral suspension (PAH); any part of sildenafil oral suspension (PAH); or any other drugs, foods, or substances.

Does sildenafil interact with other medicines (drug interactions)?

Tell your doctor about the allergy and what signs you had. If you have a health problem called pulmonary veno-occlusive disease (PVOD). If you use drugs called "poppers" like amyl nitrite and butyl nitrite. If you are taking any of these drugs: Isosorbide dinitrate, isosorbide mononitrate, nitroglycerin, riociguat, or ritonavir. If you are taking any of these drugs: Itraconazole or ketoconazole.

How is sildenafil supplied (dosage forms)?

If you are taking another drug that has the same drug in it. If you are taking another drug like this one that is used to treat erectile dysfunction (ED) or high pressure in the lungs. This is not a list of all drugs or health problems that interact with sildenafil oral suspension (PAH). Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take sildenafil oral suspension (PAH) with all of your drugs and health problems. If you have any questions about sildenafil oral suspension (PAH), please talk with your doctor, nurse, pharmacist, or other health care provider.

  • Sildenafil interacts with alpha-blockers, leading to hypotension.
  • The syrup should be measured with a proper dosing device.
  • The syrup form is less common and might have inconsistent absorption.
  • Researchers are exploring alternative delivery methods like liquids.
  • Pharmaceutical companies rarely produce sildenafil syrup commercially.

If you think there has been an overdose, call your poison control center or get medical care right away.

8.4 Pediatric Use

If you have questions about side effects, call your doctor. You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened. Store at room temperature or in a refrigerator. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

5. Warnings and Precautions

Call your doctor right away if you have a painful erection (hard penis) or an erection that lasts for longer than 4 hours. This may happen even when you are not having sex. If this is not treated right away, it may lead to lasting sex problems and you may not be able to have sex. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: These are not all of the side effects that may occur. 50 mg PO ~1 hr before sexual activity; however, may be taken anywhere from 30 min to 4 hr before sexual activity Maximum dosing frequency is once per day Based on effectiveness and toleration, may increase dose to maximum of 100 mg or decrease to 25 mg Indicated for treatment of pulmonary arterial hypertension (PAH) (World Health Organization [WHO] Group I) to improve exercise ability and delay clinical worsening Revatio (PO), Liqrev: 20 mg PO TID; may titrate up to 80 mg TID, if required, based on symptoms and tolerability Revatio (IV): 10 mg IV bolus TID 10-mg IV predicted to provide pharmacologic effect equivalent to 10-mg oral dose Do not exceed recommended PO/IV dose Viagra, VibriqueSevere (eg, cirrhosis): Consider initial dose of 25 mg Severe (eg, cirrhosis): Consider initial dose of 25 mg RevatioMild or moderate (Child-Pugh A or B): No dose adjustment requiredSevere (Child-Pugh C): Not studied Mild or moderate (Child-Pugh A or B): No dose adjustment required Viagra, VibriqueMild or moderate (CrCl 30-80 mL/min): No dose adjustment requiredSevere (CrCl <30 mL/min): Consider initial dose of 25 mg Mild or moderate (CrCl 30-80 mL/min): No dose adjustment required Severe (CrCl <30 mL/min): Consider initial dose of 25 mg RevatioAny severity, including severe (CrCl <30 mL/min): No dose adjustment required Any severity, including severe (CrCl <30 mL/min): No dose adjustment required Indicated in children aged 1-17 years for treatment of pulmonary arterial hypertension (PAH) (WHO Group I) to improve exercise ability and, in pediatric patients too young to perform standard exercise testing, pulmonary hemodynamics thought to underly improvements in exercise 20-45 kg: 20 mg

Condition Patient Age Group Dosage Recommendations Notes
Erectile Dysfunction Adults (18-65) 20 mg, 1 hour before 用于改善勃起功能
Pulmonary Hypertension Adults 10–20 mg, 3 times daily 用于降低肺动脉压力
Off-label Performance Enhancement Adults Under medical supervision 未经批准,需医生指导
Children with Pulmonary Hypertension (Rare) 1–17 years 10 mg as prescribed 特殊病例,严格监控

PO TID Maximum dose in pediatric patients not identified Based on experience in adults, dose may be titrated up to 40 mg TID, if required, based on symptoms and tolerability Mild or moderate (Child-Pugh A or B): No dose adjustment required Any severity, including severe (CrCl <30 mL/min): No dose adjustment required ≥65 years: 25 mg PO initially ~1 hr before sexual activity; however, may be taken anywhere from 30 min to 4 hr before sexual activity Maximum dosing frequency is once per day Based on effectiveness and toleration, may increase dose to maximum of 100 mg or decrease to 25 mg Indicated for treatment of pulmonary arterial hypertension (PAH) (World Health Organization [WHO] Group I) to improve exercise ability and delay clinical worsening PO: 20 mg PO TID; may titrate up to 80 mg TID, if required , based on symptoms and tolerability 10-mg IV predicted to provide pharmacologic effect equivalent to 10-mg oral dose Recommended PO/IV dose not to be exceeded Adding Revatio to bosentan does not have any beneficial effect on exercise capacity Clinical trials found no significant difference in response between elderly patients and younger adults; however, cautious dose selection should be considered in elderly because of greater frequency of decreased hepatic, renal, and cardiac function, as well as comorbid conditions and concomitant pharmacotherapy Compared with healthy younger volunteers, healthy elderly volunteers (≥65 years) had reduced clearance of sildenafil, resulting in approximately 84% and 107% higher plasma concentrations of sildenafil and its active N-desmethyl metabolite, respectively atazanaviratazanavir will increase the level or effect of sildenafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism.

Condition Details Remarks
Temperature Store between 15°C to 30°C Protect from excessive heat
Light Exposure Keep in a dark place or in opaque container Protect from light
Humidity Avoid high humidity environments Prevent product degradation
Shelf Life Typically 2 years from manufacturing date Check expiry date before use