Treats pulmonary arterial hypertension (WHO Group I). ANDA 203814, held by Macleods Pharms. Sildenafil Citrate.
As of Nov 15, 2026, ANDA 203814 (Sildenafil Citrate), held by Macleods Pharms, was first approved by FDA on Dec 17, 2013, with 8 approved supplements and 0 published complete response letters.
Sildenafil tablets are indicated for the treatment of pulmonary arterial hypertension (WHO Group I) in adults to improve exercise ability and delay clinical worsening. The delay in clinical worsening was demonstrated when sildenafil tablets were added to background epoprostenol therapy. Studies establishing effectiveness were short-term (12 to 16 weeks), and included predominately patients with New York Heart Association (NYHA) Functional Class II-III symptoms and idiopathic etiology (71%) or associated with connective tissue disease (CTD) (25%). Limitation of Use: Adding sildenafil to bosentan therapy does not result in any beneficial effect on exercise capacity.
| Date | Submission | Status | Documents |
|---|---|---|---|
| Dec 17, 2013 | Original application | Approved | None posted |
| Product | Active ingredient | Marketing |
|---|---|---|
| Sildenafil CitrateEQ 20MG BASE · tablet;oral | Sildenafil Citrate | Rx |
| Jun 30, 2025 | Supplement 23Labeling · Standard review | Approved | None posted |
| Jun 30, 2025 | Supplement 27Labeling · Standard review | Approved | None posted |
| Jun 30, 2025 | Supplement 29Labeling · Standard review | Approved | None posted |
| Apr 23, 2019 | Supplement 5Labeling · Standard review | Approved | None posted |
| Apr 23, 2019 | Supplement 9Labeling · Standard review | Approved | None posted |
| Apr 23, 2019 | Supplement 12Labeling · Standard review | Approved | None posted |
| Oct 26, 2015 | Supplement 2Labeling · Standard review | Approved | None posted |
| Apr 2, 2015 | Supplement 1Labeling · Standard review | Approved | None posted |
| Dec 17, 2013 | Original application | Approved | None posted |
Approvals, supplements, products and documents come from FDA's Drugs@FDA data files, refreshed daily; Drugs@FDA lists approved applications only. Complete response letters are FDA's published letters. Drugs@FDA and FDA complete response letters