SILDENAFIL CITRATE

65/100 · Elevated

Manufactured by Viatris Specialty LLC

Sildenafil Citrate Safety Profile: Moderate Concern with Respiratory and Cardiovascular Reactions

242,442 FDA adverse event reports analyzed

Last updated: 2026-05-12

About SILDENAFIL CITRATE

SILDENAFIL CITRATE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Viatris Specialty LLC. Based on analysis of 242,442 FDA adverse event reports, SILDENAFIL CITRATE has a safety score of 65 out of 100. This moderate score indicates a notable volume of adverse event reports that patients and providers should be aware of. The most commonly reported adverse reactions for SILDENAFIL CITRATE include DYSPNOEA, DRUG INEFFECTIVE, HEADACHE, DEATH, DIARRHOEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for SILDENAFIL CITRATE.

AI Safety Analysis

Sildenafil Citrate has a safety concern score of 65 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 242,442 adverse event reports for this medication, which is primarily manufactured by Viatris Specialty Llc.

The most commonly reported adverse events include Dyspnoea, Drug Ineffective, Headache. Of classified reports, 66.6% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Respiratory and cardiovascular reactions are the most common serious adverse events.

Drug ineffectiveness and off-label use are frequent, indicating potential misuse. Serious adverse events account for 66.6% of all reports, highlighting significant risks.

Patients taking Sildenafil Citrate should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Sildenafil citrate can cause respiratory and cardiovascular issues, and patients should be warned about potential drug interactions, especially with nitrates. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 65/100

Sildenafil Citrate received a safety concern score of 65/100 (elevated concern). This is based on a 66.6% serious event ratio across 123,932 classified reports. The score accounts for 242,442 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

DYSPNOEA13,049 reports
DRUG INEFFECTIVE12,626 reports
HEADACHE9,928 reports
DEATH8,995 reports
DIARRHOEA6,857 reports
NAUSEA6,338 reports
FATIGUE6,200 reports
DIZZINESS5,669 reports
PNEUMONIA4,876 reports
COUGH4,554 reports
MALAISE4,424 reports
OFF LABEL USE3,826 reports
VOMITING3,726 reports
PAIN3,703 reports
HYPOTENSION3,687 reports
FLUID RETENTION3,343 reports
PULMONARY ARTERIAL HYPERTENSION3,295 reports
CHEST PAIN3,247 reports
CONDITION AGGRAVATED3,188 reports
FALL3,063 reports
ERECTION INCREASED3,021 reports
PAIN IN EXTREMITY3,021 reports
ASTHENIA2,981 reports
PULMONARY HYPERTENSION2,970 reports
FLUSHING2,730 reports
OEDEMA PERIPHERAL2,703 reports
WEIGHT DECREASED2,619 reports
OXYGEN SATURATION DECREASED2,503 reports
SYNCOPE2,332 reports
PYREXIA2,303 reports
ARTHRALGIA2,293 reports
DYSPNOEA EXERTIONAL2,244 reports
NASAL CONGESTION2,173 reports
PAIN IN JAW2,159 reports
PERIPHERAL SWELLING2,125 reports
NASOPHARYNGITIS2,104 reports
DECREASED APPETITE2,055 reports
FEELING ABNORMAL2,053 reports
BACK PAIN1,975 reports
ANXIETY1,969 reports
CARDIAC FAILURE1,902 reports
WEIGHT INCREASED1,854 reports
OEDEMA1,827 reports
PALPITATIONS1,821 reports
ANAEMIA1,794 reports
CARDIAC FAILURE CONGESTIVE1,741 reports
INSOMNIA1,685 reports
RIGHT VENTRICULAR FAILURE1,667 reports
PRODUCT USE ISSUE1,663 reports
INFUSION SITE PAIN1,661 reports
ABDOMINAL DISCOMFORT1,656 reports
HOSPITALISATION1,625 reports
MYALGIA1,605 reports
RENAL FAILURE1,577 reports
RASH1,576 reports
RESPIRATORY FAILURE1,572 reports
CHEST DISCOMFORT1,527 reports
HYPERTENSION1,501 reports
ABDOMINAL PAIN UPPER1,496 reports
ERECTILE DYSFUNCTION1,484 reports
EPISTAXIS1,433 reports
HEART RATE INCREASED1,374 reports
LOSS OF CONSCIOUSNESS1,363 reports
ATRIAL FIBRILLATION1,350 reports
HYPOXIA1,338 reports
CARDIAC DISORDER1,289 reports
MYOCARDIAL INFARCTION1,281 reports
MALIGNANT MELANOMA1,279 reports
DEPRESSION1,264 reports
CONSTIPATION1,252 reports
ACUTE KIDNEY INJURY1,246 reports
ABDOMINAL PAIN1,240 reports
DISEASE PROGRESSION1,237 reports
INFLUENZA1,236 reports
PRURITUS1,236 reports
VISION BLURRED1,229 reports
DEHYDRATION1,218 reports
PULMONARY OEDEMA1,211 reports
DRUG INTERACTION1,190 reports
FLUID OVERLOAD1,189 reports
SEPSIS1,149 reports
BLOOD PRESSURE DECREASED1,132 reports
ABDOMINAL DISTENSION1,131 reports
URINARY TRACT INFECTION1,128 reports
MUSCLE SPASMS1,114 reports
CEREBROVASCULAR ACCIDENT1,112 reports
DRUG DOSE OMISSION1,078 reports
INFUSION SITE ERYTHEMA1,047 reports
GAIT DISTURBANCE1,045 reports
ERYTHEMA1,037 reports
INFECTION1,018 reports
SWELLING1,012 reports
VISUAL IMPAIRMENT995 reports
PRODUCTIVE COUGH989 reports
DYSPEPSIA987 reports
HAEMOGLOBIN DECREASED983 reports
THERAPY NON RESPONDER976 reports
SOMNOLENCE971 reports
UNEVALUABLE EVENT966 reports
CHRONIC KIDNEY DISEASE956 reports

Key Safety Signals

  • Respiratory issues like pneumonia and dyspnoea are frequent.
  • Cardiovascular events such as cardiac failure and hypertension are notable.
  • Death reports are significant, contributing to the high serious event rate.

Patient Demographics

Adverse event reports by sex: Male: 63,415, Female: 51,112, Unknown: 323. The most frequently reported age groups are age 64 (2,066 reports), age 67 (2,059 reports), age 65 (2,032 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 123,932 classified reports for SILDENAFIL CITRATE:

  • Serious: 82,573 reports (66.6%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 41,359 reports (33.4%)
Serious 66.6%Non-Serious 33.4%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male63,415 (55.2%)
Female51,112 (44.5%)
Unknown323 (0.3%)

Reports by Age

Age 642,066 reports
Age 672,059 reports
Age 652,032 reports
Age 662,024 reports
Age 622,011 reports
Age 632,010 reports
Age 611,995 reports
Age 601,983 reports
Age 691,932 reports
Age 591,904 reports
Age 681,872 reports
Age 701,865 reports
Age 561,805 reports
Age 581,796 reports
Age 711,766 reports
Age 571,742 reports
Age 551,688 reports
Age 721,679 reports
Age 741,637 reports
Age 731,611 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Sildenafil citrate can cause respiratory and cardiovascular issues, and patients should be warned about potential drug interactions, especially with nitrates.

What You Should Know

If you are taking Sildenafil Citrate, here are important things to know. The most commonly reported side effects include dyspnoea, drug ineffective, headache, death, diarrhoea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should avoid using sildenafil with nitrates or nitroglycerin as it can lead to a dangerous drop in blood pressure. Inform healthcare providers about all medications and supplements to avoid drug interactions. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor the safety of sildenafil citrate, particularly for serious adverse events, and has not issued any new warnings based on this data.

Frequently Asked Questions

How many adverse event reports has the FDA received for Sildenafil Citrate?

The FDA has received approximately 242,442 adverse event reports associated with Sildenafil Citrate. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Sildenafil Citrate?

The most frequently reported adverse events for Sildenafil Citrate include Dyspnoea, Drug Ineffective, Headache, Death, Diarrhoea. By volume, the top reported reactions are: Dyspnoea (13,049 reports), Drug Ineffective (12,626 reports), Headache (9,928 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Sildenafil Citrate.

What percentage of Sildenafil Citrate adverse event reports are serious?

Out of 123,932 classified reports, 82,573 (66.6%) were classified as serious and 41,359 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Sildenafil Citrate (by sex)?

Adverse event reports for Sildenafil Citrate break down by patient sex as follows: Male: 63,415, Female: 51,112, Unknown: 323. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Sildenafil Citrate?

The most frequently reported age groups for Sildenafil Citrate adverse events are: age 64: 2,066 reports, age 67: 2,059 reports, age 65: 2,032 reports, age 66: 2,024 reports, age 62: 2,011 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Sildenafil Citrate?

The primary manufacturer associated with Sildenafil Citrate adverse event reports is Viatris Specialty Llc. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Sildenafil Citrate?

Beyond the most common reactions, other reported adverse events for Sildenafil Citrate include: Nausea, Fatigue, Dizziness, Pneumonia, Cough. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Sildenafil Citrate?

You can report adverse events from Sildenafil Citrate to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Sildenafil Citrate's safety score and what does it mean?

Sildenafil Citrate has a safety concern score of 65 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Respiratory and cardiovascular reactions are the most common serious adverse events.

What are the key safety signals for Sildenafil Citrate?

Key safety signals identified in Sildenafil Citrate's adverse event data include: Respiratory issues like pneumonia and dyspnoea are frequent.. Cardiovascular events such as cardiac failure and hypertension are notable.. Death reports are significant, contributing to the high serious event rate.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Sildenafil Citrate interact with other drugs?

Sildenafil citrate can cause respiratory and cardiovascular issues, and patients should be warned about potential drug interactions, especially with nitrates. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Sildenafil Citrate.

What should patients know before taking Sildenafil Citrate?

Patients should avoid using sildenafil with nitrates or nitroglycerin as it can lead to a dangerous drop in blood pressure. Inform healthcare providers about all medications and supplements to avoid drug interactions.

Are Sildenafil Citrate side effects well-documented?

Sildenafil Citrate has 242,442 adverse event reports on file with the FDA. Drug ineffectiveness and off-label use are frequent, indicating potential misuse. The volume of reports for Sildenafil Citrate reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Sildenafil Citrate?

The FDA continues to monitor the safety of sildenafil citrate, particularly for serious adverse events, and has not issued any new warnings based on this data. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to SILDENAFIL CITRATE based on therapeutic use, drug class, or shared indications:

NitroglycerinIsosorbide dinitrateIsosorbide mononitratePentoxifyllineSildenafil
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.