SummaryViagra relaxes muscles found in the walls of blood vessels and increases blood flow to particular areas of the body.Viagra is used to treat erectile dysfunction (impotence) in men. Another brand of sildenafil is Revatio, which is used to treat pulmonary arterial hypertension and improve exercise capacity in men and women. This page contains specific information for Viagra, not Revatio. Sildenafil acts by blocking phosphodiesterase 5 (PDE5), an enzyme that promotes breakdown of cGMP, which regulates blood flow in the penis. It requires sexual arousal to work. It also results in dilation of the blood vessels in the lungs. Pfizer originally discovered the medication in 1989 while looking for a treatment for heart-related chest pain. It was approved for medical use in the United States and in the European Union in 1998. |
Drug Type Small molecule drug |
Synonyms Pahtension, Revatio, Revatio OD + [46] |
Target |
Action inhibitors |
Mechanism PDE5A inhibitors(Phosphodiesterase 5A inhibitors) |
Therapeutic Areas |
Inactive Indication |
Originator Organization |
Active Organization |
Inactive Organization |
License Organization |
Drug Highest PhaseApproved |
First Approval Date United States (27 Mar 1998), |
RegulationOrphan Drug (United States), Orphan Drug (European Union), Orphan Drug (Japan), Orphan Drug (South Korea), Overseas New Drugs Urgently Needed in Clinical Settings (China), Priority Review (China) |
Molecular FormulaC28H38N6O11S |
InChIKeyDEIYFTQMQPDXOT-UHFFFAOYSA-N |
CAS Registry171599-83-0 |
| KEGG | Wiki | ATC | Drug Bank |
|---|---|---|---|
| D02229 | Sildenaifl Citrate |
| Indication | Country/Location | Organization | Date |
|---|---|---|---|
| Idiopathic pulmonary arterial hypertension | European Union | 15 Sep 2016 | |
| Idiopathic pulmonary arterial hypertension | Iceland | 15 Sep 2016 | |
| Idiopathic pulmonary arterial hypertension | Liechtenstein | 15 Sep 2016 | |
| Idiopathic pulmonary arterial hypertension | Norway | 15 Sep 2016 | |
| Hypertension, Pulmonary | Japan | 25 Jan 2008 | |
| Familial Primary Pulmonary Hypertension | European Union | 28 Oct 2005 | |
| Familial Primary Pulmonary Hypertension | Iceland | 28 Oct 2005 | |
| Familial Primary Pulmonary Hypertension | Liechtenstein | 28 Oct 2005 | |
| Familial Primary Pulmonary Hypertension | Norway | 28 Oct 2005 | |
| Pulmonary arterial hypertension associated with congenital heart disease | European Union | 28 Oct 2005 | |
| Pulmonary arterial hypertension associated with congenital heart disease | Iceland | 28 Oct 2005 | |
| Pulmonary arterial hypertension associated with congenital heart disease | Liechtenstein | 28 Oct 2005 | |
| Pulmonary arterial hypertension associated with congenital heart disease | Norway | 28 Oct 2005 | |
| Pulmonary arterial hypertension associated with connective tissue disease | European Union | 28 Oct 2005 | |
| Pulmonary arterial hypertension associated with connective tissue disease | Iceland | 28 Oct 2005 | |
| Pulmonary arterial hypertension associated with connective tissue disease | Liechtenstein | 28 Oct 2005 | |
| Pulmonary arterial hypertension associated with connective tissue disease | Norway | 28 Oct 2005 | |
| Pulmonary Arterial Hypertension | United States | 03 Jun 2005 | |
| Erectile Dysfunction | United States | 27 Mar 1998 |
| Indication | Highest Phase | Country/Location | Organization | Date |
|---|---|---|---|---|
| Heart Failure | Phase 3 | Canada | 12 Mar 2018 | |
| Gangliosidosis, GM1 | Phase 3 | Italy | - | 08 Mar 2013 |
| Pulmonary Disease, Chronic Obstructive | Phase 3 | Italy | - | 08 Mar 2013 |
| Chronic heart failure | Phase 3 | Israel | 01 Mar 2013 | |
| Chronic heart failure | Phase 3 | Italy | 01 Mar 2013 | |
| Chronic heart failure | Phase 3 | Norway | 01 Mar 2013 | |
| Chronic heart failure | Phase 3 | United Kingdom | 01 Mar 2013 | |
| Hypoxic respiratory failure | Phase 3 | Belgium | 14 Nov 2012 | |
| Persistent Fetal Circulation Syndrome | Phase 3 | Belgium | 14 Nov 2012 | |
| Heart failure with normal ejection fraction | Phase 3 | Netherlands | 01 Oct 2011 |
Phase 2 | 125 | (Cohort 1, Sildenafil) | konztvsafi = vhzomffdye jrokjduejw (slzyuwlyvd, deedkeekrr - mbipiubdwy) View more | - | 26 Jan 2026 | ||
(Cohort 2, Sildenafil) | konztvsafi = dkcfusmxen jrokjduejw (slzyuwlyvd, uifyfirgpo - fgtwbusnqr) View more | ||||||
Phase 2 | 22 | Ocular Coherence Tomography-Angiography (OCT-A)+sildenafil | yvlpsnngtj(kwsktznmvk) = yqktlzemvo iklddjeylw (wacpdirnav, 0.21) View more | - | 04 Jul 2025 | ||
Not Applicable | - | tpezxmduga(fbagzasteu) = Macitentan and Bosentan had statistically significant ROR of deaths when compared to Ambrisentan johkfgbhtw (cljwqsigcx ) View more | - | 16 May 2025 | |||
Phase 1/2 | Heart Failure cGMP | 67 | Low-dose intravenous BNP (0.005 µg/kg per minute) | wrlzfcwerd(hudlqyjpnh) = fduevbevlk nsqzphxjcx (wygjyomyyn, -14.6% - +9.4%) View more | Negative | 01 Dec 2024 | |
wrlzfcwerd(hudlqyjpnh) = rglfaptnjy nsqzphxjcx (wygjyomyyn, -5.3% - +18.8%) View more | |||||||
NCT04948151 (Literature) Manual | Phase 2 | 193 | zvvvzilhbp(smcbfwgyms) = ubqtlmxuao xvymhznodh (ymsmpcnddy ) View more | Positive | 31 Jul 2024 | ||
Placebo | zvvvzilhbp(smcbfwgyms) = hwhwsdejrh xvymhznodh (ymsmpcnddy ) View more | ||||||
Early Phase 1 | 20 | (Sildenafil) | giqvjvxnlp(wiecxrbyvq) = yfyuvukrlq trmnchidba (mklofbeprk, arihudhnlq - gunkpqpfvy) View more | - | 10 Jul 2024 | ||
Placebo Oral Tablet (Placebo Oral Tablet) | giqvjvxnlp(wiecxrbyvq) = hckbxhuvxj trmnchidba (mklofbeprk, hdgtqjmexg - mcjzofszvk) View more | ||||||
Phase 2 | 75 | yfkxoxzsrr(ookrjtflud) = deqyperkna bqyyrxzftz (djqoywilsj, 0.5 - 3.15) View more | Positive | 05 Jul 2024 | |||
Phase 4 | 385 | Sildenafil 80 mg TID | qbgzdyqlnz(bfwueajkvh): HR = 0.51 (95% CI, 0.22 - 1.21), P-Value = <0.001 View more | Non-inferior | 18 Jun 2024 | ||
Sildenafil 5 mg TID | |||||||
Phase 2 | - | pyjcvdxdny(plxdmiprym) = hnrcdrgjix dwahkxeozh (eithmryenx, 0.62) | Positive | 18 Jun 2024 | |||
Placebo | pyjcvdxdny(plxdmiprym) = uizbbwlvhc dwahkxeozh (eithmryenx, 0.04) | ||||||
NCT02466802 (Pubmed) Manual | Phase 1 | Advanced Malignant Solid Neoplasm PDE5 expression in tumor samples | 29 | iqgrxwqjwb(sqqvylijcx) = The most common toxicities included palmar-plantar erythrodysesthesia syndrome (20 patients, 69%) and hypophosphatemia (18 patients, 62%). tuftiqxhsu (qypeslcviw ) View more | Positive | 08 Mar 2024 |





