Potential Side Effects and Management
Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine. Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.
| Side Effect | Frequency | Severity | Notes |
|---|---|---|---|
| Headache | Common | Mild | Usually resolves with continued use |
| Flushing | Common | Mild | Dilation of blood vessels |
| Dyspepsia | Less common | Mild | Indigestion or stomach discomfort |
| Nasal congestion | Less common | Mild | Due to vasodilation |
| Visual disturbances | Rare | Moderate | Blurred vision or color perception changes |
Tell your care team right away if you have any change in your eyesight or hearing. This medication may affect your coordination, reaction time, or judgment. Do not drive or operate machinery until you know how this medication affects you.
- Sildenafil oral solution can interact with nitrates and certain medications.
- Always inform your doctor of all medicines being taken.
- Failure to do so can cause serious adverse effects.
Sit up or stand slowly to reduce the risk of dizzy or fainting spells.
| Ingredient | Concentration | Function | Notes |
|---|---|---|---|
| Sildenafil citrate | 10 mg/mL | Active pharmaceutical ingredient | Main therapeutic agent |
| Purified water | - | Solvent | Ensures proper dissolution |
| Preservative (e.g., parabens) | 0.1% | Prevent microbial growth | Preserves solution stability |
| Flavouring agents | - | Improve palatability | Fruit or mint flavors |
| Sweeteners | - | Mask bitterness | Aspartame or sucralose |
Drinking alcohol with this medication can increase the risk of these side effects.
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SILDENAFIL (sil DEN a fil) treats pulmonary arterial hypertension (PAH), a condition that causes high blood pressure in the lungs. It works by relaxing your blood vessels and lowering the blood pressure in your lungs, which makes it easier for your heart to pump blood to the rest of your body. It can also help you breathe easier and be more active. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. They need to know if you have any of these conditions: History of blood diseases, such as sickle cell anemia or leukemia Stomach ulcers, other stomach or intestine problems An unusual or allergic reaction to sildenafil, other medications, foods, dyes, or preservatives Take it as directed on the prescription label at the same time every day.
Sildenafil Oral Suspension Dosage and Administration
Use a specially marked oral syringe, spoon, or dropper to measure each dose. Do not mix this medication with other medications or flavoring. You can take it with or without food. If it upsets your stomach, take it with food. Keep taking it unless your care team tells you to stop.
Introducing Sildenafil Oral Sublingual Spray
This medication comes with sildenafil citrate tablets 150 mg INSTRUCTIONS FOR USE. Ask your pharmacist for directions on how to use this medication. Talk to your pharmacist or care team if you have questions. Talk to your care team about the use of this medication in children. While it may be prescribed for children as young as 1 year for selected conditions, precautions do apply. Contact your care team right away if you have an erection that lasts longer than 4 hours or if it becomes painful.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Kamagra Soft Tabs | 100mg | 20 Pills | 79.79€ 75.99€ | |
| Viagra Generic | 50mg | 180 + 8 Pills | 158.82€ 151.26€ | |
| Kamagra Oral Jelly | 100mg | 21 Sachets | 95.92€ 91.35€ | |
| Kamagra Oral Jelly | 100mg | 110 + 9 Sachets | 334.87€ 318.92€ | |
| Viagra Generic | 150mg | 270 + 10 Pills | 326.61€ 311.06€ | |
| Viagra Generic | 25mg | 90 + 6 Pills | 105.03€ 100.03€ | |
| Kamagra Oral Jelly | 100mg | 30 + 5 Sachets | 136.20€ 129.71€ | |
| Viagra Generic | 50mg | 120 + 6 Pills | 129.64€ 123.47€ | |
| Kamagra | 100mg | 20 Pills | 86.09€ 81.99€ | |
| Viagra Generic | 50mg | 30 + 4 Pills | 54.26€ 51.68€ | |
| Kamagra Polo | 100mg | 32 Pills | 125.88€ 119.89€ |
This may be a sign of a serious problem and must be treated right away to prevent permanent damage. Side effects that you should report to your care team as soon as possible: Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat Heart attack—pain or tightness in the chest, shoulders, arms, or jaw, nausea, shortness of breath, cold or clammy skin, feeling faint or lightheaded Heart rhythm changes—fast or irregular heartbeat, dizziness, feeling faint or lightheaded, chest pain, trouble breathing Low blood pressure—dizziness, feeling faint or lightheaded, blurry vision Stroke—sudden numbness or weakness of the face, arm, or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness, severe headache, change in vision Sudden vision loss in one or both eyes Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): This list may not describe all possible side effects. Call your doctor for medical advice about side effects.
Full Prescribing Information
Do not take or give sildenafil for oral suspension and contact your pharmacist if the medicine in the bottle is still a powder. Always use the oral dosing syringe that comes with sildenafil for oral suspension. If your carton does not come with an oral dosing syringe, contact your pharmacist. Do not take or give sildenafil for oral suspension if the bottle adaptor is not in the bottle. If the bottle adaptor is not in the bottle, contact your pharmacist.
8.4 Pediatric Use
Sildenafil for oral suspension should not be mixed with any other medicine or flavoring. Supplies you will need to take or give a dose of sildenafil for oral suspension (See Figure A): 1 bottle of sildenafil for oral suspension with pre-inserted bottle adaptor 1 oral dosing syringe (provided in the carton) Shake the bottle of sildenafil oral suspension for 10 seconds before each use. Open the bottle by pushing down on the cap and twisting it in the direction of the arrow (counter-clockwise). Fully push down (depress) the plunger of the oral dosing syringe. Then insert the tip of the oral dosing syringe into the bottle adaptor while holding the bottle upright, on a flat surface.
5.8 Vaso-occlusive Crisis in Patients with Pulmonary Hypertension Secondary to Sickle Cell Disease
Turn the bottle upside down while holding the oral dosing syringe in place. Slowly pull back the plunger of the oral dosing syringe until the bottom of the plunger is even with the mL marking on the syringe for your or your child’s prescribed dose. If your or your child's dose of sildenafil for oral suspension is more than 2 mL (20 mg), you will need to divide the dose. Follow the instructions given to you by your healthcare provider or pharmacist about how to prepare the divided dose. If you see air bubbles in the oral dosing syringe, slowly push the plunger all the way up so that sildenafil for oral suspension flows back into the bottle and repeat Step 4. You may report side effects to FDA at 1-800-FDA-1088. Keep out of the reach of children and pets.
Rights and permissions
Turn the bottle back upright with the oral dosing syringe still in place. Place the bottle on a flat surface. Remove the oral dosing syringe from the bottle adaptor by pulling straight up on the barrel of the oral dosing syringe. (See Figure F) Do not press on the plunger of the oral dosing syringe at this time. Put the tip of the oral dosing syringe into your or your child's mouth and point it towards the inside of the cheek.
Statistical Analysis
Slowly push the plunger of the oral dosing syringe all the way down to give the entire dose. Do not squirt the medicine out quickly. If you are giving sildenafil for oral suspension to a child, make sure they are in an upright position before giving the medicine. Replace the cap on the bottle, leaving the bottle adaptor in place. Turn the cap in the direction of the arrow (clockwise) to close the bottle.
Warnings for people with certain health conditions
Wash the oral dosing syringe after each use. Pull the plunger out of the barrel and rinse both parts with water. Dry all parts with a clean paper towel. Push the plunger back into the barrel. Store the oral dosing syringe with the sildenafil for oral suspension bottle. After this medication is mixed by your pharmacist, store it below 30 degrees C (86 degrees F) or in a refrigerator between 2 and 8 degrees C (36 and 46 degrees F). Throw away any unused medication after 60 days. It may not cover all possible information.
- Common side effects include headache, flushing, and dizziness.
- Allergic reactions are rare but require immediate medical attention.
- Effects usually last for 4 to 6 hours.
If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider. Sign up for our Health Essentials emails for expert guidance on nutrition, fitness, sleep, skin care and more.
- The cost of sildenafil oral solution varies depending on brand and pharmacy.
- Generic versions are typically less expensive.
- Availability might be limited in some regions or countries.
Note: Introduction and Additional Common Questions written and medically approved by Cleveland Clinic professionals.
Supplementary information
Do not take double or extra doses. Do not take this medication with any of the following: Nitrates, such as amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin This medication may also interact with the following: Other medications may affect the way this medication works. Talk with your care team about all of the medications you take. They may suggest changes to your treatment plan to lower the risk of side effects and to make sure your medications work as intended. This list may not describe all possible interactions. Method of Preparation: Calculate the quantity of each ingredient for the amount to be prepared.
| Condition | Recommended Range | Notes |
|---|---|---|
| Temperature | 2°C to 25°C | Keep away from freezing or excessive heat |
| Light exposure | Store in opaque container | Protect from light |
| Humidity | Dry environment | Avoid moisture to prevent degradation |
| Shelf life | 24 months | Check expiry date before use |
Mix 50 mL of Ora-Plus with 50 mL of Ora-Sweet for use as the vehicle in this preparation. Obtain the required number of sildenafil citrate tablets or the required quantity of powder and place in a mortar. Pulverize the tablets, if used, to a fine powder.
The bottom line
How should I store sildenafil oral suspension? Store mixed (reconstituted) sildenafil oral suspension below 30°C (86°F) or in a refrigerator between 2° to 8°C (36° to 46°F). Do not freeze mixed sildenafil oral suspension. Throw away (discard) any remaining sildenafil oral suspension 60 days after mixed by the pharmacist. See the “Discard after” date written on the bottle label.
Authors and Affiliations
Keep sildenafil for oral suspension and all medicines out of the reach of children. Aurobindo Pharma USA, Inc. 279 Princeton-Hightstown RoadEast Windsor, NJ 08520 Manufactured by: Aurobindo Pharma Limited Hyderabad-500 032, India This Instructions for Use has been approved by the U.S. Food and Drug Administration. Cialis vs Viagra - What's the difference between them?
What should I do if I accidentally use too much sildenafil?
Do you know these 11 amazing facts about Viagra? Is generic Viagra available in the U.S.? Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Add a small quantity of the Ora-Plus:Ora-Sweet mixture and mix to a smooth paste. Geometrically, add the remainder of the Ora-Plus:Ora-Sweet mixture to final volume and mix well.
- The medication works by relaxing blood vessels in the penis.
- It increases blood flow, resulting in an erection during sexual activity.
- It requires sexual stimulation to be effective.
Use: Sildenafil citrate oral liquid has been used to treat pediatric pulmonary arterial hypertension in children in whom the risk-benefit profile of sildenafil is deemed acceptable. Packaging: Package in tight, light-resistant containers.1 Labeling: Keep out of reach of children.
7. Conclusions
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. NOTE: This medicine is only for you. Do not share this medicine with others. If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Stability: A beyond-use date of up to 91 days may be used for this preparation.1-4 Quality Control: Quality-control assessment can include weight/volume, pH, specific gravity, active drug assay, color, rheologic properties/pourability, physical observation, and physical stability (discoloration, foreign materials, gas formation, mold growth).5 Discussion: A number of stability studies have been conducted on oral liquid formulations of sildenafil for pediatric use.
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