Sildenafil
A 5-phosphodiesterase inhibitor used in the treatment of pulmonary hypertension, erectile dysfunction in men, Raynaud's syndrome and in other treatments due to its vasodilatory effect on smooth muscle.
Its use is authorized in small infants and neonates to treat pulmonary hypertension (Lakshminrusimha 2016, Krishnan 2010).
Sildenafil and its metabolite N-desmethylsildenafil are excreted in breast milk in clinically insignificant amounts, much lower than the dose used in newborns and infants (Wollein 2016).
Alternatives
We do not have alternatives for Sildenafil since it is relatively safe.
Very Low Risk
Compatible. Not risky for breastfeeding or infant.
Low Risk
Moderately safe. Mild risk possible. Follow up recommended. Read the Comment.
High Risk
Poorly safe. Evaluate carefully. Use a safer alternative. Read the Comment.
Very High Risk
Not recommended. Cessation of breastfeeding or alternative.
Synonyms
- Sildenafil Citrate
Writings
- σιλδεναφίλη κιτρική (Greek)
- Сильденафила Цитрат (Cyrillic)
- 酸塩 (Chinese)
- シルデナフィルクエン (Japanese)
- Sildénafil (French)
- C22H30N6O4S,C6H8O7 (Molecular formula)
- 5-[2-Ethoxy-5-(4-methylpiperazin-1-ylsulfonyl)phenyl]-1,6-dihydro-1-methyl-3-propylpyrazolo[4,3-d]pyrimidin-7-one citrate; 1-{[3-(6,7-Dihydro-1-methyl-7-oxo-3-propyl-1H-pyrazolo[4,3-d]pyrimidin-5-yl)-4-ethoxyphenyl]sulfonyl}-4-methylpiperazone citrate (Chemical name)
Drug trade names
- Revatio (Ревацио)™
- Revatio™
- Viagra (Виагра)™
- Viagra (万艾可)™
- Viagra™
- Vizarsin (Визарсин)™
- Vizarsin™
- АДАМАКС-100
- АДАМАКС-50
- ВЕКТА
- ВІАГРА®
- ВІАГРА® ODT
- ВІАСИЛ
- ВІВАЙРА
- ВІЗАРСИН®
- ВІЗАРСИН® Q-TAB®
- ДЖЕНАГРА® 100
- ДЖЕНАГРА® 25
- ДЖЕНАГРА® 50
- ДИНАМІКО
- ЕРГОС®
- ЕРО-ЛАЙФ ®
- ЕРОСИЛ
- ЕРОТОН®
- іГра®
- ІНТАГРА® ІС
- ІНФОРС
- КАМАГРА 100
- КАМАГРА 50
- КОНЕГРА
- КОНЕГРА ДЕЛЮКС
- КОНЕГРА® КЛАСІК
- МАКСІГРА
- МОГИНИН®
- НО-ЛАГ
- НОВАГРА 100
- НОВАГРА 25
- НОВАГРА 50
- ОЛНАЙТ
- ПОТЕНЦІАЛЕ
- РЕВАЦИО
- СИЛАГРА
- СИЛДЕНАФІЛ
- СИЛДЕНАФІЛ 100 АНАНТА
- СИЛДЕНАФІЛ 50 АНАНТА
- СИЛДЕНАФІЛУ ЦИТРАТ
- СИЛДОКАД
- СІГРА
- СІНЕГРА
- СТРОНДЕКС
- СУПЕРВІГА 100
- СУПЕРВІГА 25
- СУПЕРВІГА 50
- ТЕГРУМ
- ФАКЕЛ®
- ФІЛАП
- ФОРСАЖ
References
- EMA. Sildenafilo. Ficha técnica. 2016 Full text (in our servers)
- EMA. Sildenafil. Drug Summary. 2016 Full text (in our servers)
- Wollein U, Schech B, Hardt J, Schramek N. Determination and quantitation of sildenafil and its major metabolite in the breast milk of a lactating woman. J Pharm Biomed Anal. 2016Abstract
- Lakshminrusimha S, Mathew B, Leach CL. Pharmacologic strategies in neonatal pulmonary hypertension other than nitric oxide. Semin Perinatol. 2016Abstract
- Krishnan U. Management of pulmonary arterial hypertension in the neonatal unit. Cardiol Rev. 2010Abstract