Supporting Your Partner: Sildenafil BNF Reference Guide

When your partner is considering sildenafil treatment, understanding the medication can help you both navigate this journey together. This comprehensive guide covers everything you need to know about sildenafil from the BNF perspective, including dosages, safety considerations, and how to provide supportive care. EverydayMeds offers both generic sildenafil and branded Viagra options, allowing patients to choose what works best for their needs and budget.

  • Understand sildenafil dosing guidelines and timing recommendations
  • Learn about potential side effects and when to seek medical advice
  • Discover how lifestyle factors can influence treatment effectiveness
  • Find out about contraindications and important drug interactions
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Not sure which one? Here's the honest comparison.

Sildenafil
~60 min
~4 hrs
you like to plan ahead
Tadalafil (as-needed)Most prescribed
~30 min
up to 36 hrs
you want a whole weekend covered
Tadalafil Daily
always active
continuous
you never want to think about timing
Vardenafil
~15–30 min
~8 hrs
you want the fastest onset

How ED treatment works in your body.

Increases blood flow

Increases blood flow

When PDE5 is suppressed, blood is able to flow more freely through the body—including to the (you guessed it) penis.

Increase erections

Increase erections

More blood flow to the penis means harder, more satisfying erections once you're sexually stimulated.

Essential BNF Information for Partners and Caregivers

Understanding Sildenafil: The Basics

Sildenafil is a PDE5 inhibitor medication used to treat erectile dysfunction in adult men. According to the BNF (British National Formulary), sildenafil works by increasing blood flow to the penis during sexual arousal. It's important to understand that this medication doesn't cause automatic erections - sexual stimulation is still required. Both generic sildenafil and branded Viagra contain the same active ingredient, with the main difference being cost and packaging.

BNF Dosing Guidelines

The standard starting dose is typically 50mg, taken approximately 30-60 minutes before sexual activity. Based on effectiveness and tolerability, this may be adjusted to 25mg or increased to a maximum of 100mg. The BNF emphasises that only one dose should be taken within a 24-hour period. Partners should be aware that fatty meals can delay the medication's onset of action, so timing around meals may be worth considering.

Safety Considerations from the BNF

The BNF highlights several important contraindications that partners should be aware of. Sildenafil must never be taken with nitrate medications (such as GTN spray for angina) as this can cause a dangerous drop in blood pressure. Men with severe heart disease, recent heart attacks or strokes, or severe liver problems may not be suitable candidates for this treatment. A thorough clinical assessment by a UK-licensed prescriber is always required before treatment begins.

Common Side Effects and Support

According to BNF guidance, common side effects may include headaches, facial flushing, indigestion, and nasal congestion. These are generally mild and temporary. As a partner, you can help by ensuring your loved one stays hydrated and doesn't feel pressured about timing or performance. If side effects persist or worsen, or if there are signs of serious reactions like chest pain or prolonged erections lasting over 4 hours, seek immediate medical attention.

Creating a Supportive Environment

Partners play a crucial role in treatment success. Open communication about expectations, concerns, and experiences can significantly improve outcomes. Remember that erectile dysfunction can affect confidence and self-esteem, so patience and understanding are vital. The medication may take a few attempts to find the right dose and timing that works best, and this is completely normal according to clinical guidance.

What you need to know about erectile dysfunction

It's one of the most common conditions we treat, and one of the most treatable.

What is Erectile Dysfunction?
ED means finding it hard to get or keep an erection firm enough for sex. It's not unusual to have an off night; the point at which it's worth doing something is when it's happening regularly, or when it's starting to bother you.
How will I feel when I take ED medication?
For most men, nothing feels different day to day. The medication works in the background — when you're sexually aroused, it helps blood flow where it's needed, so erections come more easily and last longer. It doesn't cause arousal on its own. Some men notice mild, short-lived effects like a headache, facial flushing or a stuffy nose, which usually pass as the dose wears off.
Why do I need a prescription for ED medication?
ED treatments are prescription-only medicines in the UK because they aren't suitable for everyone — for example, alongside certain heart conditions or medications like nitrates. That's why we ask you to complete a short online consultation first. A UK-registered prescriber reviews your answers to make sure your chosen treatment is safe and right for you before it's dispensed.
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