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Viagra

Sildenafil · also sold as Viagra / Revatio

An oral tablet used to treat erectile dysfunction and pulmonary arterial hypertension.

PDE5 inhibitor
Generic name
Sildenafil
Brand names
Viagra / Revatio
Route
Oral
Marketed by
Viatris
First FDA approval
27 Mar 1998

Where Sildenafil is approved

All regulators →

Of the three regulators tracked here, the first to approve Sildenafil was the US, on 27 Mar 1998. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
27 Mar 1998
Viagra
NDA020895 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
13 Sep 1998
Viagra
EMA product page
First centralised authorisation
CACanada (Health Canada)
8 Mar 1999
Viagra
Notice of Compliance 2054
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

Sildenafil patents and exclusivity

Expiry tracker →

Protections still running for marketed products containing Sildenafil, as listed by the regulators. Expired patents and exclusivities, and discontinued products, are not shown.

US FDA Orange Book Vybrique, Revatio, Viagra
  • 1 listed patent; the last listed expires 16 Dec 2033 (US 11123287).
  • Exclusivity ODE-469: Orphan drug exclusivity: treatment of pulmonary arterial hypertension (pah) (who group i) in pediatric patients 1 to 17 years old to improv…, until 31 Jan 2030.
  • Exclusivity NP: New product, until 16 Dec 2028.
See the Orange Book listing for NDA 210858
Patents and exclusivities above are pooled across 4 applications for this substance.

Reproduced from the FDA Orange Book and Purple Book (checked 5 Oct 2026) and the European Commission's Union Register of medicinal products (CC BY 4.0; the EU expiry date is calculated exactly as the Commission's register displays it). Listed patents and dates are as submitted to or published by the regulator and may not reflect litigation, invalidation, settlements, lapsed fees or later extensions. This is not legal advice or a freedom-to-operate opinion, and it does not say when a generic or biosimilar will launch.

What health systems spend on Sildenafil

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ENNHS England
Not dispensed in the community in England in the last 12 months under this name
Net ingredient cost, community prescriptions
USUS Medicaid
$15.6m
70,459 prescriptions in 2025 · Sildenafil, sildenafil CITRATE, Revatio
-23% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Sildenafil works

All drug targets →
  • Phosphodiesterase 5A inhibitor Inhibitor
    Target: PDE5A phosphodiesterase 5A
    ✓ In ChEMBL and the Guide to Pharmacology
Other medicines acting on PDE5A
Diseases it has been tested for in clinical trials, by furthest phase
  • Eisenmenger syndromePhase 3
  • Left ventricular diastolic dysfunctionPhase 3
  • Beta thalassemiaPhase 3
  • Chronic lung diseasePhase 3
  • Congestive heart failurePhase 3
  • Coronary vasospasmPhase 3
  • Diabetes mellitusPhase 3
  • Diastolic heart failurePhase 3
  • GlaucomaPhase 3
  • Heart failurePhase 3
76 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL192, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 4743, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

Patient leaflets for Sildenafil

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Sildenafil

ATC code
G04BE03
ChEMBL
CHEMBL192
DrugBank
DB00203
PubChem CID
135398744
CAS number
139755-83-2
FDA UNII
3M7OB98Y7H
Wikidata
Q191521
Wikipedia
Sildenafil

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Viagra is used for

VIAGRA is indicated for the treatment of erectile dysfunction. VIAGRA is a phosphodiesterase-5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction (ED) ( 1 )

How it works

12.1 Mechanism of Action The physiologic mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. NO then activates the enzyme guanylate cyclase, which results in increased levels of cyclic guanosine monophosphate (cGMP), producing smooth muscle relaxation in the corpus cavernosum and allowing inflow of blood. Sildenafil enhances the effect of NO by inhibiting phosphodiesterase type 5 (PDE5), which is responsible for degradation of cGMP in the corpus cavernosum. Sildenafil has no direct relaxant effect on isolated human corpus cavernosum. When sexual stimulation causes local release of NO, inhibition of PDE5 by sildenafil c…

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 6 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.