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Sildenafil Citrate vs Vardenafil: side-by-side comparison

Sildenafil Citrate and Vardenafil belong to the same class (PDE5 inhibitor). They share therapeutic approach but differ in mechanism nuances, half-life, side-effect profile and available formulations. This comparison summarises what is common and where they diverge.

Property Sildenafil Citrate Vardenafil
Therapeutic class PDE5 inhibitor PDE5 inhibitor
CAS 171599-83-0 224785-91-5
ATC G04BE03 G04BE09
Molecular weight 666.7 g/mol 488.6 g/mol
Brands with this active ingredient 10 2

What they share

Both are in the PDE5 inhibitor class, giving them a common pharmacological architecture and many shared safety and management points. Choice within the class comes down to mechanism nuances, half-life, side-effect profile and individual response.

Key differences

Differences within the PDE5 inhibitor class are what matter in practice: half-life, route of administration, equivalent doses, specific interactions, predominant side-effect profile and accumulated clinical experience. This page frames them; the prescribing information gives quantitative detail.

Mechanisms compared

Sildenafil Citrate: Sildenafil citrate selectively inhibits phosphodiesterase type 5 (PDE5), an enzyme that breaks down cyclic guanosine monophosphate in the corpus cavernosum. Vardenafil: Vardenafil selectively inhibits PDE5, the enzyme that breaks down cyclic guanosine monophosphate in the corpus cavernosum.

Indications compared

Sildenafil Citrate: Sildenafil citrate is approved in adult men for the treatment of erectile dysfunction. Vardenafil: Vardenafil is approved in adult men for the treatment of erectile dysfunction.

Safety profile

Sildenafil Citrate: Common adverse effects reported in clinical trials include headache, facial flushing, nasal congestion, dyspepsia and transient visual disturbances. Vardenafil: Common adverse effects in clinical trials include headache, facial flushing, nasal congestion, dyspepsia and dizziness.

Frequently asked questions

Is Sildenafil Citrate better than Vardenafil?

Neither is universally better. Sildenafil Citrate and Vardenafil share the PDE5 inhibitor class but differ in half-life, mechanism nuances and side-effect profile. The choice depends on the patient and the prescriber.

Can Sildenafil Citrate and Vardenafil be combined?

Combining two ingredients from the same PDE5 inhibitor class is uncommon and, in most cases, adds no benefit over one at an appropriate dose. The decision is always the prescriber's.

Do they have the same side-effect profile?

Partly yes — they share many PDE5 inhibitor class effects, with nuances by mechanism and dose. The prescribing information lists differences.

Products with Sildenafil Citrate

Products with Vardenafil

The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.