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Vardenafil vs Sildenafil Citrate: side-by-side comparison

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

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

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

Indications compared

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

Safety profile

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

Frequently asked questions

Is Vardenafil better than Sildenafil Citrate?

Neither is universally better. Vardenafil and Sildenafil Citrate 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 Vardenafil and Sildenafil Citrate 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 Vardenafil

Products with Sildenafil Citrate

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