How to Administer Liquid Sildenafil Citrate

Open the bottle by pushing down on the cap and twisting it in the direction of the arrow (counter-clockwise).

Highlights of Prescribing Information

If your carton does not come with an oral dosing syringe, contact your pharmacist. Do not take or give sildenafil for oral suspension if the bottle adaptor is not in the bottle. If the bottle adaptor is not in the bottle, contact your pharmacist. Sildenafil for oral suspension should not be mixed with any other medicine or flavoring. Supplies you will need to take or give a dose of sildenafil for oral suspension (See Figure A): 1 bottle of sildenafil for oral suspension with pre-inserted bottle adaptor 1 oral dosing syringe (provided in the carton) Shake the bottle of sildenafil oral suspension for 10 seconds before each use. Fully push down (depress) the plunger of the oral dosing syringe. Then insert the tip of the oral dosing syringe into the bottle adaptor while holding the bottle upright, on a flat surface. Turn the bottle upside down while holding the oral dosing syringe in place.

Slowly pull back the plunger of the oral dosing syringe until the bottom of the plunger is even with the mL marking on the syringe for your or your child’s prescribed dose. If your or your child's dose of sildenafil for oral suspension is more than 2 mL (20 mg), you will need to divide the dose.

• The taste of liquid sildenafil citrate can vary based on manufacturer.
• Some formulations include sweeteners to improve palatability.
• It is important to avoid contamination by using clean measuring tools.
• Never double-dose in an attempt to enhance effects.
• The liquid form may be prescribed when pills are not tolerated.
• Be attentive to any visual or hearing changes during treatment.
• It might interact with other medications, like blood thinners.
• Patients should report persistent side effects or lack of improvement.
• Follow safety labeling instructions carefully for optimal results.
• Be aware that generic versions are available in some regions.
• Knowledge of proper storage ensures medication integrity over time.

Follow the instructions given to you by your healthcare provider or pharmacist about how to prepare the divided dose. If you see air bubbles in the oral dosing syringe, slowly push the plunger all the way up so that sildenafil for oral suspension flows back into the bottle and repeat Step 4. Turn the bottle back upright with the oral dosing syringe still in place. Place the bottle on a flat surface. Remove the oral dosing syringe from the bottle adaptor by pulling straight up on the barrel of the oral dosing syringe. (See Figure F) Do not press on the plunger of the oral dosing syringe at this time.

More about sildenafil

At baseline, the median of 6MWD for the intent-to-treat (ITT) population was 332 to 352 m. At Month 6, the median change from baseline was highest for sildenafil 80 mg TID with 28 m compared to 18 m and 19 m for sildenafil 5 mg TID and sildenafil 20 mg TID groups, respectively. The same was seen at Month 12, the median change from baseline for sildenafil 80 mg TID group was 33 m compared to 17 m for sildenafil 5 mg TID and 31 m in sildenafil 20 mg TID groups. Overall, the safety data for sildenafil 20 mg TID and for the higher sildenafil 80 mg TID dose were consistent with the established safety profile of sildenafil in previous adult PAH studies [see Adverse Reactions (6.1)]. Sildenafil for Oral Suspension, 10 mg/mL is supplied in amber pet bottles.

Warnings and Precautions

Each bottle contains white to off-white granular powder containing 1.57 g of sildenafil citrate USP (equivalent to 1.12 g sildenafil). Following reconstitution, the volume of the oral suspension is 112 mL (10 mg sildenafil/mL). A 2 mL oral dosing syringe (with 1 mL and 2 mL dose markings) and a press-in bottle adaptor are also provided. Recommended Storage for Sildenafil for Oral Suspension: Store below 30°C (86°F) in the original package in order to protect from moisture. Recommended Storage for Reconstituted Oral Suspension: Store below 30°C (86°F) or in refrigerator at 2° to 8°C (36° to 46°F).

Safety and Tolerability

The shelf-life of the reconstituted oral suspension is 60 days. Any remaining oral suspension should be discarded 60 days after reconstitution. Advise the patient to read the FDA-approved patient labeling sildenafil oral solution (Patient Information and Instructions for Use). Inform patients of contraindication of sildenafil for oral suspension with regular and/or intermittent use of organic nitrates. Inform patients that sildenafil is also marketed as VIAGRA for erectile dysfunction. Put the tip of the oral dosing syringe into your or your child's mouth and point it towards the inside of the cheek. Slowly push the plunger of the oral dosing syringe all the way down to give the entire dose. Do not squirt the medicine out quickly. If you are giving sildenafil for oral suspension to a child, make sure they are in an upright position before giving the medicine. Replace the cap on the bottle, leaving the bottle adaptor in place.

• During use, note the onset time and duration of the liquid sildenafil's effect.
• Use with caution if you have heart, kidney, or liver issues.
• Always inform your healthcare provider of other ongoing treatments.
• Potential side effects can include nasal congestion or stomach upset.
• Avoid driving or operating machinery until you know how sildenafil affects you.
• Use only as directed; misuse can cause serious health issues.
• Liquid sildenafil citrate is sometimes compounded into topical gels.
• It’s crucial to maintain a record of dose and timing.
• Be aware that alcohol can impair the effectiveness of sildenafil.
• The medication does not protect against sexually transmitted infections.
• Seek emergency medical help if you experience symptoms like chest pain.

Turn the cap in the direction of the arrow (clockwise) to close the bottle. Wash the oral dosing syringe after each use. Pull the plunger out of the barrel and rinse both parts with water. Dry all parts with a clean paper towel. Push the plunger back into the barrel. Store the oral dosing syringe with the sildenafil for oral suspension bottle. How should I store sildenafil oral suspension? Store mixed (reconstituted) sildenafil oral suspension sildenafil pricing below 30°C (86°F) or in a refrigerator between 2° to 8°C (36° to 46°F). Do not freeze mixed sildenafil oral suspension. Throw away (discard) any remaining sildenafil oral suspension 60 days after mixed by the pharmacist.

See the “Discard after” date written on the bottle label. Keep sildenafil for oral suspension and all medicines out of the reach of children. Aurobindo Pharma USA, Inc. 279 Princeton-Hightstown RoadEast Windsor, NJ 08520 Manufactured by: Aurobindo Pharma Limited Hyderabad-500 032, India This Instructions for Use has been approved by the U.S.

What special precautions should I follow?

Primary comparison of the 80 mg TID group to the 5 mg TID group yielded the HR (99.7% CI) = 0.51 (0.22, 1.21); i.e., non-inferiority was established. Hazard Ratios for Overall Survival, Assessed in the Proportional Hazards Model – Intent To Treat Population On treatment deaths: Any death within 7 days of last dose was regarded as “On treatment”, thus might include deaths occurred after discontinuation from study treatment. Hazard ratio estimates from the proportional Hazards model, stratified by actual previous PAH treatment and etiology of PAH. Kaplan-Meier estimates of survival at 3 years were 66%, 79%, and 85% in the 5-, 20-, and 80- mg TID dose groups, respectively. Sildenafil 80 mg was also superior to 5 mg for time to first event of clinical worsening with HR (99.7% CI) = 0.44 (0.22, 0.89).

Clinical monitoring

Hazard Ratios for Time to First Event of Clinical Worsening – Intent To Treat Population Note: Sildenafil 5 mg is not an approved dosage. Abbreviations: 6MWD = 6-minute walk distance; CI = confidence interval; PAH = pulmonary arterial hypertension. Clinical worsening events were defined as reduction from baseline in the 6MWD test by at least 15% and worsening functional class from baseline, both confirmed by a second test/evaluation within 2 weeks. Count of cases of disease progression as the first event of clinical worsening. c.

How sildenafil is used

Count of non-elective hospital stays for worsening PAH as the first event of clinical worsening. d. Count of deaths as the first event of clinical worsening. e. Hazard ratio estimates from the proportional Hazards model, stratified by actual previous PAH treatment and etiology of PAH. Food and Drug Administration. Cialis vs Viagra - What's the difference between them?

• When purchasing liquid sildenafil citrate, confirm the authenticity of the source.
• It is not recommended to buy unregulated or counterfeit versions.
• Homemade or unverified formulations can be unsafe and ineffective.
• Always follow prescribed instructions to ensure safety.
• Regular blood pressure monitoring is advised while using sildenafil.
• Beware of potential allergic reactions, such as rash or swelling.
• Using alcohol with liquid sildenafil can increase side effects.
• Keep track of dosage history for medical reviews.
• Report any adverse effects to a healthcare provider immediately.
• Use of sildenafil citrate does not guarantee sexual performance.
• Consider lifestyle factors like diet and exercise for best results.

Do you know these 11 amazing facts about Viagra? Is generic Viagra available in the U.S.?

• Liquid sildenafil citrate is a water-based solution of the erectile dysfunction medication.
• It is often used for faster absorption compared to pills.
• This liquid form allows adjustable dosing for precise treatment.
• It is typically stored in a sealed bottle to prevent spoilage.
• The liquid is usually flavored to improve taste and ease consumption.
• It must be measured accurately with a dosing syringe or dropper.
• Not all brands are FDA approved; verify quality before use.
• Liquid sildenafil citrate may have a shorter shelf life than tablet forms.
• It’s important to consult a healthcare provider before use.
• Possible side effects include headaches, flushing, and dizziness.
• Store the liquid in a cool, dry place away from sunlight.

(Liquid Formulation of PDE5 Inhibitor for Erectile Dysfunction and Vascular Support) Sildenafil Drops offer a liquid, titratable formulation of the well-known PDE5 inhibitor used to treat erectile dysfunction (ED), as well as select off-label vascular conditions. Each 30 mL bottle contains a total of 100 mg of sildenafil citrate, delivered in a drop-based dosing format that allows for precise micro-dosing, rapid absorption, and convenient administration—especially for individuals who prefer not to take tablets or who require flexible titration. Compounded by prescription, this formulation is ideal for patients seeking a customized dosing solution to support sexual performance, vascular responsiveness, and in some cases, exercise tolerance or pulmonary vascular conditions under clinical supervision.

11. Sildenafil Oral Suspension Description

Advise patients taking sildenafil for oral suspension not to take VIAGRA or other PDE-5 inhibitors. Advise patients to seek immediate medical attention for a sudden loss of vision in one or both eyes while taking sildenafil for oral suspension. Such an event may be a sign of NAION. Advise patients to seek prompt medical attention in the event of sudden decrease or loss of hearing while taking sildenafil for oral suspension. These events may be accompanied by tinnitus and dizziness.

Serious side effects

The brands listed are trademarks of their respective owners and are not trademarks of Aurobindo Pharma Limited. Distributed by: Aurobindo Pharma USA, Inc. 279 Princeton-Hightstown RoadEast Windsor, NJ 08520 Manufactured by: Aurobindo Pharma Limited Hyderabad-500 032, India Revised: 02/2026 This Patient Information has been approved by the U.S. Food and Drug Administration. Instructions for Use Sildenafil (sil den' a fil) Read this Instructions for Use before you start taking sildenafil oral suspension or giving sildenafil oral suspension buy pills sildenafil to your child and each time you get a refill.

J. Pharmaceut. Biomed. Anal.

This information does not take the place of talking to your healthcare provider about your or your child’s medical condition or treatment. Ask your healthcare provider or pharmacist to show you how to measure and take or give your child’s prescribed dose of sildenafil for oral suspension. Your pharmacist will mix (reconstitute) sildenafil for oral suspension before it is given to you. Do not take or give sildenafil for oral suspension and contact your pharmacist if the medicine in the bottle is still a powder. Always use the oral dosing syringe that comes with sildenafil for oral suspension. Concentration: 100 mg total per 30 mL Use: Erectile dysfunction, vascular enhancement, off-label support for pulmonary conditions Storage: Room temperature (20–25°C); refrigerate if directed Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor that works by enhancing the effects of nitric oxide, a natural vasodilator, in vascular smooth muscle. Support sexual arousal response via increased penile blood flow Improve endothelial function and vascular tone in specific medical conditions The drop-based formulation provides a non-tablet alternative, allowing for more individualized and dynamic use, especially in patients with: Preference for rapid titration with fewer side effects Sildenafil inhibits PDE5, an enzyme that breaks down cyclic guanosine monophosphate (cGMP).