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A pharmacist will follow up within two business days. We'll cover state availability, supported formulations, and what integration looks like for your clinic.
Medications · Sexual health
PDE-5 inhibitor at custom strengths or rapid-dissolve preparations.
What it does
Sildenafil is FDA-approved (Viagra, Revatio) for erectile dysfunction and pulmonary arterial hypertension. Compounded sildenafil is prescribed when the patient needs custom strengths, rapid-dissolve sublingual troches, or alternative excipient profiles not available in the manufactured supply.
How it works
Sildenafil inhibits phosphodiesterase-5 (PDE-5), the enzyme that degrades cyclic GMP. With sexual stimulation, nitric oxide produces cGMP in penile tissue, and sildenafil's PDE-5 inhibition allows cGMP-mediated smooth muscle relaxation and increased blood flow to persist long enough for erection.
How long it's been studied
Sildenafil received FDA approval for erectile dysfunction in 1998. Decades of clinical use and millions of prescriptions inform safety and dosing.
Dosing
Doctor-prescribed. Compounded sildenafil is typically dispensed at 25, 50, 100, or 150 mg, with sublingual troches absorbed faster than oral capsules. Your doctor selects strength and form based on response, tolerance, and any cardiovascular considerations.
This page is informational, not a dispensing aid. Compounded Sildenafil is dispensed only on a patient-specific prescription written by a licensed doctor for an identified patient. Compounded drugs are not FDA-approved and should not be evaluated using branded-drug trial data. Availability varies by state and prescribed medication.
How to access Compounded Sildenafil through RonanRx
Doctors can prescribe compounded Compounded Sildenafil for individual patients through RonanRx. Patients with a doctor can sign up to receive their prescription. Patients without a doctor can learn how the referral works.
For doctors
A pharmacist will follow up within two business days. We'll cover state availability, supported formulations, and what integration looks like for your clinic.
Patient with a doctor
If your doctor has already prescribed Compounded Sildenafil, sign up so we can prepare and ship your medication. The signup wizard collects intake and connects you to the prescribing workflow.
Patient without a doctor
RonanRx prescribes through partner clinics — we don't initiate prescriptions on this site. Read how the referral process works and how to find a partner clinic in your state.
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