Details
Stereochemistry | ACHIRAL |
Molecular Formula | C22H30N6O4S.HNO3 |
Molecular Weight | 537.589 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
O[N+]([O-])=O.CCCC1=NN(C)C2=C1N=C(NC2=O)C3=CC(=CC=C3OCC)S(=O)(=O)N4CCN(C)CC4
InChI
InChIKey=RBQNFEVGNSBKSU-UHFFFAOYSA-N
InChI=1S/C22H30N6O4S.HNO3/c1-5-7-17-19-20(27(4)25-17)22(29)24-21(23-19)16-14-15(8-9-18(16)32-6-2)33(30,31)28-12-10-26(3)11-13-28;2-1(3)4/h8-9,14H,5-7,10-13H2,1-4H3,(H,23,24,29);(H,2,3,4)
Sildenafil (Viagra, Revatio) is a PDE5 inhibitor which was approved by FDA for the treatment of erectile disfunction and adults with pulmonary arterial hypertension. Upon administration sildenafil inhibits PDE5 and results in elevated level of cyclic guanosine monophosphate and smooth muscle relaxation.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/18388248
Curator's Comment: CNS activity was observed on rats.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1827 |
3.5 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Curative | VIAGRA Approved UseVIAGRA is a phosphodiesterase-5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction. Launch Date1998 |
|||
Primary | REVATIO Approved UseREVATIO is a phosphodiesterase-5 (PDE-5) inhibitor indicated for the treatment of pulmonary arterial hypertension (PAH) (WHO Group I) in adults to improve exercise ability and delay clinical worsening. Launch Date2005 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
159 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/11879254 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
SILDENAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
530 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/11879254 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
SILDENAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
4.07 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/11879254 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
SILDENAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
4 h |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
SILDENAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
4% |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
SILDENAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
2000 mg single, oral Overdose Dose: 2000 mg Route: oral Route: single Dose: 2000 mg Sources: Page: p.2 |
healthy, 33 n = 1 Health Status: healthy Age Group: 33 Sex: M Population Size: 1 Sources: Page: p.2 |
Disc. AE: Flushing, Headache... AEs leading to discontinuation/dose reduction: Flushing Sources: Page: p.2Headache Tachycardia (mild) |
2400 mg single, oral Overdose Dose: 2400 mg Route: oral Route: single Dose: 2400 mg Sources: Page: p.2 |
healthy, 33 n = 1 Health Status: healthy Age Group: 33 Sex: M Population Size: 1 Sources: Page: p.2 |
Disc. AE: Visual field defect... AEs leading to discontinuation/dose reduction: Visual field defect Sources: Page: p.2 |
250 mg single, oral Overdose Dose: 250 mg Route: oral Route: single Dose: 250 mg Sources: Page: p.258 |
unhealthy, 45 n = 1 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 45 Sex: M Population Size: 1 Sources: Page: p.258 |
Disc. AE: Rhabdomyolysis, Visual disturbance NOS... AEs leading to discontinuation/dose reduction: Rhabdomyolysis Sources: Page: p.258Visual disturbance NOS |
80 mg 3 times / day multiple, oral Highest studied dose Dose: 80 mg, 3 times / day Route: oral Route: multiple Dose: 80 mg, 3 times / day Sources: Page: p.1278 |
unhealthy, 47.5 n = 135 Health Status: unhealthy Condition: Pulmonary arterial hypertension Age Group: 47.5 Sex: M+F Population Size: 135 Sources: Page: p.1278 |
|
6.5 g single, oral Overdose Dose: 6.5 g Route: oral Route: single Dose: 6.5 g Sources: Page: p.1 |
healthy, 56 n = 1 Health Status: healthy Age Group: 56 Sex: M Population Size: 1 Sources: Page: p.1 |
Disc. AE: Vomiting, Blurred vision... AEs leading to discontinuation/dose reduction: Vomiting (severe) Sources: Page: p.1Blurred vision Sinus tachycardia |
600 mg single, oral Overdose Dose: 600 mg Route: oral Route: single Dose: 600 mg Sources: |
healthy, 56 n = 1 Health Status: healthy Age Group: 56 Sex: M Population Size: 1 Sources: |
Disc. AE: Cardiomegaly, Fibrosis myocardial... AEs leading to discontinuation/dose reduction: Cardiomegaly (grade 5) Sources: Fibrosis myocardial (grade 5) |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1400 |
unhealthy, 58 n = 316 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 58 Sex: M Population Size: 316 Sources: Page: p.1400 |
Disc. AE: Nausea, Vomiting... AEs leading to discontinuation/dose reduction: Nausea (0.32%) Sources: Page: p.1400Vomiting (0.32%) Leg pain (0.32%) Backache (0.32%) Intermittent headache (0.32%) Dyspepsia (0.32%) Headache (0.32%) |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1403 |
unhealthy, 60 n = 163 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 60 Sex: M Population Size: 163 Sources: Page: p.1403 |
Disc. AE: Headache, Flushing... AEs leading to discontinuation/dose reduction: Headache (0.61%) Sources: Page: p.1403Flushing (0.61%) |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1401 |
unhealthy, 60 n = 225 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 60 Sex: M Population Size: 225 Sources: Page: p.1401 |
Disc. AE: Headache, Flushing... AEs leading to discontinuation/dose reduction: Headache (0.9%) Sources: Page: p.1401Flushing (0.44%) Blurred vision (0.44%) Groin pain (1.3%) |
400 mg single, oral Overdose Dose: 400 mg Route: oral Route: single Dose: 400 mg Sources: Page: p.1,2 |
unhealthy, 67 n = 1 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 67 Sex: M Population Size: 1 Sources: Page: p.1,2 |
Disc. AE: Acute kidney injury... AEs leading to discontinuation/dose reduction: Acute kidney injury Sources: Page: p.1,2 |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Flushing | Disc. AE | 2000 mg single, oral Overdose Dose: 2000 mg Route: oral Route: single Dose: 2000 mg Sources: Page: p.2 |
healthy, 33 n = 1 Health Status: healthy Age Group: 33 Sex: M Population Size: 1 Sources: Page: p.2 |
Headache | Disc. AE | 2000 mg single, oral Overdose Dose: 2000 mg Route: oral Route: single Dose: 2000 mg Sources: Page: p.2 |
healthy, 33 n = 1 Health Status: healthy Age Group: 33 Sex: M Population Size: 1 Sources: Page: p.2 |
Tachycardia | mild Disc. AE |
2000 mg single, oral Overdose Dose: 2000 mg Route: oral Route: single Dose: 2000 mg Sources: Page: p.2 |
healthy, 33 n = 1 Health Status: healthy Age Group: 33 Sex: M Population Size: 1 Sources: Page: p.2 |
Visual field defect | Disc. AE | 2400 mg single, oral Overdose Dose: 2400 mg Route: oral Route: single Dose: 2400 mg Sources: Page: p.2 |
healthy, 33 n = 1 Health Status: healthy Age Group: 33 Sex: M Population Size: 1 Sources: Page: p.2 |
Rhabdomyolysis | Disc. AE | 250 mg single, oral Overdose Dose: 250 mg Route: oral Route: single Dose: 250 mg Sources: Page: p.258 |
unhealthy, 45 n = 1 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 45 Sex: M Population Size: 1 Sources: Page: p.258 |
Visual disturbance NOS | Disc. AE | 250 mg single, oral Overdose Dose: 250 mg Route: oral Route: single Dose: 250 mg Sources: Page: p.258 |
unhealthy, 45 n = 1 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 45 Sex: M Population Size: 1 Sources: Page: p.258 |
Blurred vision | Disc. AE | 6.5 g single, oral Overdose Dose: 6.5 g Route: oral Route: single Dose: 6.5 g Sources: Page: p.1 |
healthy, 56 n = 1 Health Status: healthy Age Group: 56 Sex: M Population Size: 1 Sources: Page: p.1 |
Sinus tachycardia | Disc. AE | 6.5 g single, oral Overdose Dose: 6.5 g Route: oral Route: single Dose: 6.5 g Sources: Page: p.1 |
healthy, 56 n = 1 Health Status: healthy Age Group: 56 Sex: M Population Size: 1 Sources: Page: p.1 |
Vomiting | severe Disc. AE |
6.5 g single, oral Overdose Dose: 6.5 g Route: oral Route: single Dose: 6.5 g Sources: Page: p.1 |
healthy, 56 n = 1 Health Status: healthy Age Group: 56 Sex: M Population Size: 1 Sources: Page: p.1 |
Cardiomegaly | grade 5 Disc. AE |
600 mg single, oral Overdose Dose: 600 mg Route: oral Route: single Dose: 600 mg Sources: |
healthy, 56 n = 1 Health Status: healthy Age Group: 56 Sex: M Population Size: 1 Sources: |
Fibrosis myocardial | grade 5 Disc. AE |
600 mg single, oral Overdose Dose: 600 mg Route: oral Route: single Dose: 600 mg Sources: |
healthy, 56 n = 1 Health Status: healthy Age Group: 56 Sex: M Population Size: 1 Sources: |
Backache | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1400 |
unhealthy, 58 n = 316 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 58 Sex: M Population Size: 316 Sources: Page: p.1400 |
Dyspepsia | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1400 |
unhealthy, 58 n = 316 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 58 Sex: M Population Size: 316 Sources: Page: p.1400 |
Headache | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1400 |
unhealthy, 58 n = 316 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 58 Sex: M Population Size: 316 Sources: Page: p.1400 |
Intermittent headache | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1400 |
unhealthy, 58 n = 316 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 58 Sex: M Population Size: 316 Sources: Page: p.1400 |
Leg pain | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1400 |
unhealthy, 58 n = 316 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 58 Sex: M Population Size: 316 Sources: Page: p.1400 |
Nausea | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1400 |
unhealthy, 58 n = 316 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 58 Sex: M Population Size: 316 Sources: Page: p.1400 |
Vomiting | 0.32% Disc. AE |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1400 |
unhealthy, 58 n = 316 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 58 Sex: M Population Size: 316 Sources: Page: p.1400 |
Flushing | 0.61% Disc. AE |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1403 |
unhealthy, 60 n = 163 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 60 Sex: M Population Size: 163 Sources: Page: p.1403 |
Headache | 0.61% Disc. AE |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1403 |
unhealthy, 60 n = 163 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 60 Sex: M Population Size: 163 Sources: Page: p.1403 |
Blurred vision | 0.44% Disc. AE |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1401 |
unhealthy, 60 n = 225 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 60 Sex: M Population Size: 225 Sources: Page: p.1401 |
Flushing | 0.44% Disc. AE |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1401 |
unhealthy, 60 n = 225 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 60 Sex: M Population Size: 225 Sources: Page: p.1401 |
Headache | 0.9% Disc. AE |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1401 |
unhealthy, 60 n = 225 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 60 Sex: M Population Size: 225 Sources: Page: p.1401 |
Groin pain | 1.3% Disc. AE |
100 mg 1 times / day multiple, oral (max) Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1401 |
unhealthy, 60 n = 225 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 60 Sex: M Population Size: 225 Sources: Page: p.1401 |
Acute kidney injury | Disc. AE | 400 mg single, oral Overdose Dose: 400 mg Route: oral Route: single Dose: 400 mg Sources: Page: p.1,2 |
unhealthy, 67 n = 1 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 67 Sex: M Population Size: 1 Sources: Page: p.1,2 |
PubMed
Title | Date | PubMed |
---|---|---|
A risk-benefit assessment of sildenafil in the treatment of erectile dysfunction. | 2001 |
|
'Viagra effect' - influence of mass media on patient behavior. | 2001 |
|
Strategies for the treatment of antidepressant-related sexual dysfunction. | 2001 |
|
Safe use of sildenafil in patients with coronary artery disease. | 2001 Apr |
|
Sildenafil citrate for penile hemodynamic determination: an alternative to intracavernosal agents in Doppler ultrasound evaluation of erectile dysfunction. | 2001 Apr |
|
Efficacy and safety of sildenafil citrate in the treatment of men with mild to moderate erectile dysfunction. | 2001 Apr |
|
Intracavernosal injection of sildenafil citrate: misapplication of the drug. | 2001 Apr |
|
Assessment of as needed use of pharmacotherapy and the pause-squeeze technique in premature ejaculation. | 2001 Feb |
|
Oral alpha adrenoceptor blockade as a treatment of erectile dysfunction. | 2001 Feb |
|
Central effects of sildenafil (Viagra) on auditory selective attention and verbal recognition memory in humans: a study with event-related brain potentials. | 2001 Feb |
|
Sildenafil citrate, a selective phosphodiesterase type 5 inhibitor: urologic and cardiovascular implications. | 2001 Feb |
|
Changes in ED therapy in the Viagra era. | 2001 Feb |
|
Phosphodiesterase isoenzymes as pharmacological targets in the treatment of male erectile dysfunction. | 2001 Feb |
|
Intracerebral haemorrhage associated with sildenafil citrate. | 2001 Feb |
|
I've heard of an herbal alternative to Viagra for impotence. Does it work and is it safe? | 2001 Feb |
|
Efficacy of oral sildenafil in the treatment of erectile dysfunction in diabetic men with positive response to intracavernosal injection of alprostadil. | 2001 Feb |
|
Sildenafil citrate (VIAGRA) improves erectile function in elderly patients with erectile dysfunction: a subgroup analysis. | 2001 Feb |
|
Determination of sildenafil citrate in plasma by high-performance liquid chromatography and a case for the potential interaction of grapefruit juice with sildenafil citrate. | 2001 Feb |
|
Interposition sural nerve grafting during radical retropubic prostatectomy. | 2001 Feb |
|
Sildenafil modulates hemodynamics and pulmonary gas exchange. | 2001 Feb |
|
Viagra for impotence of pulmonary vasodilator therapy? | 2001 Feb |
|
[Endocrinology 1999-2000]. | 2001 Feb 15 |
|
[Research on impotence and marketing]. | 2001 Feb 20 |
|
Cost-effectiveness of sildenafil. | 2001 Feb 6 |
|
Cost-effectiveness of sildenafil. | 2001 Feb 6 |
|
The role of nitric oxide in penile erection. | 2001 Jan |
|
Emergency sperm extraction for transient erectile dysfunction prior to assisted conception. | 2001 Jan |
|
Sildenafil citrate: a therapeutic update. | 2001 Jan |
|
Intracavernosal injection therapy. Does it still have a role in erectile dysfunction? | 2001 Jan |
|
Effect of sildenafil in patients with erectile dysfunction taking antihypertensive therapy. Sildenafil Study Group. | 2001 Jan |
|
Sexual aspects of headache. How sexual function relates to headaches and their causes and treatment. | 2001 Jan |
|
pH-mediated field-amplified sample stacking of pharmaceutical cations in high-ionic strength samples. | 2001 Jan |
|
[Prescribing of sildenafil by national insurance program physicians. What basic sexual medicine qualification is required?]. | 2001 Jan 11 |
|
[Erectile dysfunction in coronary heart disease. No fear about the blue pill]. | 2001 Jan 18 |
|
[Paths to sexual satisfaction. What will stimulate the tired man?]. | 2001 Jan 18 |
|
[Drug treatment of erection disorders in patients with cardiovascular disease]. | 2001 Jan 27 |
|
Relapse prevention strategies and techniques with erectile dysfunction. | 2001 Jan-Feb |
|
Viagra: a three-year sexual revolution and the need to recognise its role within the NHS. | 2001 Mar |
|
Three-year update of sildenafil citrate (Viagra) efficacy and safety. | 2001 Mar |
|
Initial uptake in use of sildenafil in general practice. | 2001 Mar |
|
Identification of the cytochrome P450 enzymes involved in the N-demethylation of sildenafil. | 2001 Mar |
|
Alternatives to Viagra. | 2001 Mar |
|
Is brachytherapy comparable with radical prostatectomy and external-beam radiation for clinically localized prostate cancer? | 2001 Mar |
|
Sildenafil citrate and sperm function. | 2001 Mar |
|
Is the sildenafil product information adequate to facilitate informed therapeutic decisions? | 2001 Mar |
|
Comparison of FDA reports of patient deaths associated with sildenafil and with injectable alprostadil. | 2001 Mar |
|
Phosphodiesterase inhibitor-mediated potentiation of adenovirus delivery to myocardium. | 2001 Mar |
|
[Side effects of sildenafil: findings from two years practical experience]. | 2001 Mar 17 |
|
Subjective visual halos after sildenafil (Viagra) administration: Electroretinographic evaluation. | 2001 May |
|
FIA of sildenafil citrate using UV-detection. | 2001 May |
Sample Use Guides
Erectile disfunction: For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. Pulmonary arterial hypertension: 5 mg or 20 mg three times a day, 46 hours apart (oral); 2.5 mg or 10 mg three times a day administered as an intravenous bolus injection.
Route of Administration:
Other
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Code System | Code | Type | Description | ||
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252951-59-0
Created by
admin on Sat Dec 16 10:54:43 GMT 2023 , Edited by admin on Sat Dec 16 10:54:43 GMT 2023
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135484084
Created by
admin on Sat Dec 16 10:54:43 GMT 2023 , Edited by admin on Sat Dec 16 10:54:43 GMT 2023
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8B699ZY1CH
Created by
admin on Sat Dec 16 10:54:43 GMT 2023 , Edited by admin on Sat Dec 16 10:54:43 GMT 2023
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PRIMARY |
ACTIVE MOIETY
SUBSTANCE RECORD