Anyone with any of the following should not take PDE5 inhibitors (like sildenafil) for PE:
- Patients who take nitrates or even carry nitrates in case they’re needed in response to chest pain
- Patients with a history of tinnitus
- Allergy or negative reaction to sildenafil or other phosphodiesterase 5 inhibitors (PDE5i) under different names or any components (e.g. Viagra, Cialis, Levitra, Staxxyn, Stendra, Revatio, tadalafil, vardenafil, avanafil)
- Patients who feel “winded” or too weak or tired to walk up 2 flights of stairs relatively briskly
- Patients who have unstable heart disease or have been told they are not healthy enough for sex
- Patients who have nonarteritic anterior ischemic optic neuropathy (NAION) or retinitis pigmentosa
- Patients with idiopathic hypertrophic subaortic stenosis (IHSS).
- Patients with very low blood pressure
Based on your medical history and current medications list, your provider may determine that there are safer treatment choices for PE than PDE5i. For a full list of contraindications to sildenafil please see the Prescriber’s Digital Reference (PDR).
This information is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice. If you have any questions or concerns, please talk to your doctor.