Sildenafil Viatris 20 mg FC tablets
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of pulmonary arterial hypertension (PAH).
Dosage (summary)
20 mg three times a day, 6-8 hours apart.
Special Populations
- Elderly: No dosage adjustment required.
- Renal impairment: No dosage adjustment required.
- Hepatic impairment: No dosage adjustment required for mild to moderate impairment.
Pregnancy & Breastfeeding
Not recommended in pregnancy or breastfeeding due to lack of data.
Key Drug Interactions
- Contraindicated with guanylate cyclase stimulators (e.g., riociguat).
- Contraindicated with potent CYP3A4 inhibitors (e.g., ketoconazole, ritonavir).
Contraindications
- Severe hepatic impairment (Child-Pugh class C).
- Recent stroke or myocardial infarction.
- Severe hypotension (BP < 90/50 mmHg).
- Hypersensitivity to sildenafil.
Common side effects
- Headache
- Flushing
- Dyspepsia
- Diarrhoea
- Pain in extremity
Counselling Points
- Avoid use with nitrates.
- Seek immediate medical attention for prolonged erections.
- Caution advised when driving or operating machinery.
Serious warnings
- Risk of priapism.
- Potential cardiovascular risks.
- Increased risk of NAION.
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