Sildenafil Per prescriber order — Compounded Troche / Oral Dissolving Tablet Patient Monograph

Patient education monograph for Sildenafil (Per prescriber order), a compounded troche / oral dissolving tablet. Learn how it works, how to use it, possible side effects, and find a licensed compounding pharmacy near you.

What is Sildenafil?

This compounded preparation contains sildenafil formulated for individual patient use pursuant to a prescription.

How does Sildenafil work?

Sildenafil inhibits the enzyme PDE5, allowing smooth muscles in penile blood vessels (and, in women, pelvic tissues) to relax and fill with blood. This supports the physical response to sexual stimulation. It does not create arousal on its own.

How to use Sildenafil

Take as directed by your prescriber, typically 30–60 minutes before sexual activity. Do not take more than once in 24 hours. Allow troche to dissolve under the tongue or in the cheek as instructed.

Sildenafil side effects

Flushing, headache, nasal congestion, visual changes (blue-tinted vision or increased light sensitivity), and indigestion are common. These are usually short-lived. High-fat meals may delay the onset of effect.

Drug interactions with Sildenafil

CRITICAL: Do not combine with nitrate drugs (nitroglycerin, isosorbide mononitrate/dinitrate) — a dangerous drop in blood pressure can occur. Avoid with alpha-blockers without prescriber guidance. Grapefruit juice may intensify and prolong effects.

How to store Sildenafil

Store at room temperature, away from heat, moisture, and direct light. Keep in the original packaging until use.

Precautions for Sildenafil

Do not take if you use nitrate medications for chest pain. Report any vision changes, prolonged erection lasting more than 4 hours, or sudden hearing loss to a healthcare provider immediately.

Frequently Asked Questions — Sildenafil

What is Sildenafil?
This compounded preparation contains sildenafil formulated for individual patient use pursuant to a prescription.
How does Sildenafil work?
Sildenafil inhibits the enzyme PDE5, allowing smooth muscles in penile blood vessels (and, in women, pelvic tissues) to relax and fill with blood. This supports the physical response to sexual stimulation. It does not create arousal on its own.
How do I use Sildenafil?
Take as directed by your prescriber, typically 30–60 minutes before sexual activity. Do not take more than once in 24 hours. Allow troche to dissolve under the tongue or in the cheek as instructed.
What are the side effects of Sildenafil?
Flushing, headache, nasal congestion, visual changes (blue-tinted vision or increased light sensitivity), and indigestion are common. These are usually short-lived. High-fat meals may delay the onset of effect.
Are there drug interactions with Sildenafil?
CRITICAL: Do not combine with nitrate drugs (nitroglycerin, isosorbide mononitrate/dinitrate) — a dangerous drop in blood pressure can occur. Avoid with alpha-blockers without prescriber guidance. Grapefruit juice may intensify and prolong effects.
How should I store Sildenafil?
Store at room temperature, away from heat, moisture, and direct light. Keep in the original packaging until use.
What precautions should I know about Sildenafil?
Do not take if you use nitrate medications for chest pain. Report any vision changes, prolonged erection lasting more than 4 hours, or sudden hearing loss to a healthcare provider immediately.
Where can I get compounded Sildenafil?
Sildenafil is available through licensed compounding pharmacies on the SlimionRX network. Visit slimionrx.com to find a pharmacy near you.
  1. SlimionRX
  2. Compound Library
  3. Sildenafil