Name of the Procedure:

Sildenafil Citrate, 25 mg (S0090)

Common Name(s): Viagra, Erectile Dysfunction Medication
Technical/Medical Term(s): Phosphodiesterase type 5 (PDE5) Inhibitor

Summary

Sildenafil Citrate, also known by the brand name Viagra, is a medication used to treat erectile dysfunction (ED) by increasing blood flow to the penis, helping men achieve and maintain an erection.

Purpose

Medical Conditions Addressed: Erectile Dysfunction (ED)
Goals/Expected Outcomes: To enable men with ED to achieve and maintain an erection sufficient for satisfactory sexual performance.

Indications

Specific Symptoms/Conditions: Difficulty achieving or maintaining an erection
Patient Criteria/Factors: Men diagnosed with erectile dysfunction

Preparation

Pre-Procedure Instructions:

• Follow the prescribing healthcare provider's guidelines on timing and dosage.
• Avoid consuming alcohol or large amounts of fatty foods around the time of taking the medication.
• Disclose all current medications to the healthcare provider to avoid potential drug interactions. Diagnostic Tests/Assessments:
• Medical history review
• Physical examination
• Possibly, blood tests or other diagnostic assessments to determine the underlying cause of ED.

Procedure Description

Step-by-Step:

• Sildenafil citrate is taken orally, usually 30 minutes to 4 hours before planned sexual activity.
• The tablet should be swallowed whole with water. Tools/Equipment/Technology: Oral medication in tablet form Anesthesia/Sedation: Not applicable

Duration

The medication typically takes effect within 30 minutes to 1 hour and can last up to 4 hours.

Setting

Where Performed: Taken at home or in a private setting

Personnel

Healthcare Professionals Involved:

• Prescribing healthcare provider (e.g., primary care physician, urologist)

Risks and Complications

Common Risks: Headache, flushing, indigestion, nasal congestion, dizziness, visual changes
Rare Risks: Severe hypotension, priapism (prolonged and painful erection), sudden hearing loss, heart attack
Possible Complications Management: Immediate medical attention for priapism or severe allergic reactions; monitoring and adjusting dosage or discontinuing use if necessary.

Benefits

Expected Benefits: Improved ability to achieve and maintain an erection
Realization Time: Benefits can often be realized within 30 minutes to 1 hour of taking the medication.

Recovery

Post-Procedure Care: No specific post-procedure care necessary
Expected Recovery Time: No recovery time required; effects are temporary and will wear off after a few hours.
Restrictions/Follow-up: Follow-up with the prescribing healthcare provider if experiencing any adverse effects or if the medication is not effective.

Alternatives

Other Treatment Options:

• Other PDE5 inhibitors (e.g., tadalafil, vardenafil)
• Hormone therapy
• Vacuum erection devices
• Penile implants Pros and Cons: Each alternative has its own benefits and risks. The appropriate treatment option varies based on individual patient factors and preferences.

Patient Experience

During and After Procedure:

• During: Patients typically feel no immediate discomfort from taking the medication orally.
• After: Potential mild side effects like headache and flushing; most can continue their daily activities without interruption. Pain Management/Comfort Measures: Over-the-counter pain relievers may be used for mild headaches. Always consult the prescribing healthcare provider for any concerns.