Understanding Sildenafil: Uses, Mechanism, and Precautions
Sildenafil (Viagra) is a PDE5 inhibitor used to treat erectile dysfunction and pulmonary hypertension. It works by increasing cGMP levels, leading to improved blood flow and stronger erections. Common side effects include headaches and visual changes, with rare cases of priapism. Always consult a healthcare provider for proper use and safety.

An Overview of Sildenafil
Sildenafil, widely recognized by the brand name Viagra, is a medication classified as a phosphodiesterase type 5 (PDE5) inhibitor. It is primarily used to treat pulmonary arterial hypertension and erectile dysfunction by relaxing blood vessels in the lungs and genital area. This action lowers pulmonary blood pressure and enhances blood flow, which aids in achieving and maintaining an erection. Sildenafil is available in dosages from 25mg to 100mg per tablet and is a key component in Viagra formulations.
How Sildenafil Functions
Sildenafil works by preventing the breakdown of cyclic guanosine monophosphate (cGMP) in erectile tissues. When nitric oxide is released, it binds to guanylate cyclase receptors, increasing cGMP levels. Elevated cGMP causes muscle relaxation, leading to improved blood flow to the penis and resulting in an erection. As a selective PDE5 inhibitor, sildenafil enhances this process, promoting stronger and sustained erections.
Possible side effects of sildenafil are generally mild and uncommon, but they can occur. Most side effects lessen over time, yet if they persist or worsen, consulting a healthcare professional is advised.
Headache: Over-the-counter pain relievers can help.
Nasally congested, indigestion, nausea, or flushing: These are common and temporary.
Visual disturbances or dizziness: Avoid driving or operating machinery until symptoms resolve.
Prolonged erections, vision issues, or chest discomfort: Seek immediate medical attention if these occur.
Rarely, especially when combined with other drugs, a condition called priapism may develop, characterized by painful, prolonged erections lasting over 4 hours. This requires urgent medical care to prevent lasting damage.