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sildenafil Side Effects

Also known as: Viagra, Revatio

Analysis of 55,325 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

55,325

Death-Related

8,392

15.2% of reports

Hospitalizations

24,609

44.5% of reports

Top Indication

Pulmonary Arterial Hypertension

Most Reported Adverse Reactions

DYSPNOEA
7,729
HEADACHE
5,655
DIARRHOEA
4,447
NAUSEA
3,984
DEATH
3,873
FATIGUE
3,799
DIZZINESS
3,256
DRUG INEFFECTIVE
3,068
COUGH
2,921
PNEUMONIA
2,628
VOMITING
2,394
HYPOTENSION
2,360
OFF LABEL USE
2,259
MALAISE
2,168
PAIN
2,011
PULMONARY ARTERIAL HYPERTENSION
1,980
CONDITION AGGRAVATED
1,956
FLUID RETENTION
1,939
CHEST PAIN
1,831
PAIN IN EXTREMITY
1,793

Who Reports Side Effects

Gender Distribution

Female 28,778 (56%)
Male 22,264 (44%)
Unknown 57

Age Distribution

0-17 2,737 (7%)
18-44 6,355 (17%)
45-64 14,106 (37%)
65-74 8,814 (23%)
75+ 5,806 (15%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 8,392 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 3,847
DYSPNOEA 1,119
PULMONARY ARTERIAL HYPERTENSION 739
PULMONARY HYPERTENSION 587
PNEUMONIA 530
RIGHT VENTRICULAR FAILURE 520
CONDITION AGGRAVATED 514
RESPIRATORY FAILURE 472
CARDIAC FAILURE 432
DISEASE PROGRESSION 428
HYPOTENSION 419
DIARRHOEA 403
CARDIAC ARREST 385
HEADACHE 366
NAUSEA 339
FATIGUE 328
FLUID RETENTION 315
OXYGEN SATURATION DECREASED 305
HYPOXIA 277
MALAISE 269

Reactions in Hospitalization Reports

Top reactions in 24,609 reports where hospitalization was an outcome.

Reaction Reports
DYSPNOEA 4,962
HEADACHE 2,343
PNEUMONIA 2,313
DIARRHOEA 2,176
NAUSEA 1,955
FATIGUE 1,669
HYPOTENSION 1,579
FLUID RETENTION 1,540
DIZZINESS 1,456
PULMONARY ARTERIAL HYPERTENSION 1,395
VOMITING 1,391
DEATH 1,288
COUGH 1,240
OXYGEN SATURATION DECREASED 1,188
CONDITION AGGRAVATED 1,159
MALAISE 1,143
CHEST PAIN 1,141
PULMONARY HYPERTENSION 1,141
HOSPITALISATION 1,126
FALL 1,102

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What the FAERS Data Reveals About sildenafil Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 55,325 voluntary reports linked to sildenafil and its brand equivalents (Viagra, Revatio), spanning 2004 through 2025. Of those, 8,392 (15.2%) listed death as an outcome and 24,609 (44.5%) involved hospitalization. The most common indication reported alongside adverse events was Pulmonary Arterial Hypertension.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 56% were female and 44% male; age distribution skews toward 45-64, with 14,106 reports in that bracket. The single most reported reaction is dyspnoea with 7,729 submissions, followed by headache and diarrhoea.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.