Sildenafil Citrate

Sildenafil Citrate is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). It works by relaxing smooth muscle and increasing blood flow to specific areas of the body, including the penis and pulmonary vasculature.

Dosage by Body Weight

For erectile dysfunction, the standard adult dose is 50 mg taken as needed, approximately 1 hour before sexual activity (range 25 mg to 100 mg, maximum once daily). For pulmonary arterial hypertension, standard dosing is 5 mg or 20 mg three times daily. Avoid concurrent use with nitrates or organic nitrites.

  1. Body Weight
    Below 5 kg
    Dose
    Not routine
    Frequency
    Use only if prescribed
    Tracking Notes
    Safety and efficacy not established in neonates; require specialist pediatric cardiologist supervision.
  2. Body Weight
    5-7 kg
    Dose
    0.5 mg to 1 mg per kg
    Frequency
    Three times daily
    Tracking Notes
    Indicated strictly for pediatric pulmonary arterial hypertension (PAH) under specialist direction.
  3. Body Weight
    8-10 kg
    Dose
    10 mg
    Frequency
    Three times daily
    Tracking Notes
    Oral suspension formulation is preferred for precise pediatric dosing.
  4. Body Weight
    11-15 kg
    Dose
    10 mg
    Frequency
    Three times daily
    Tracking Notes
    Adjust dosage carefully based on clinical response and tolerability.
  5. Body Weight
    16-20 kg
    Dose
    10 mg to 20 mg
    Frequency
    Three times daily
    Tracking Notes
    Monitor closely for adverse effects such as flushing, headache, or hypotension.

Formulation

TabletOral SuspensionInjection

Purpose

Used for the treatment of erectile dysfunction (ED) and pulmonary arterial hypertension (PAH) to improve exercise capacity and delay clinical worsening.

Generic Name

Sildenafil Citrate

Branded Drug Names

Sildenafil Citrate is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.