Urology · PDE-5 inhibitor
Sildenafil
Dose
50 mg PO 1 h before sexual activity (25 mg in elderly/renal impairment); 20 mg TDS in pulmonary hypertension.
Contraindications
- • Any nitrate or nicorandil use
- • Recent stroke or MI
- • Hypotension <90/50
Use
Erectile dysfunction; pulmonary arterial hypertension.
Monitoring
BP; assess cardiovascular fitness for sexual activity.
Side effects
- • Headache, flushing
- • Dyspepsia
- • Blue-tinged vision
- • Priapism (rare)
Related in WardRound
Always confirm dose against your local formulary / BNF before prescribing.
