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What is Hezkue® Sildenafil Suspension?

Hezkue liquid Sildenafil Suspension is the oral liquid spray version of sildenafil citrate, the same active ingredient found in VIAGRA®, for erectile dysfunction. It is a Prescription Only Medicine (POM). You must have a valid prescription from a clinician to purchase and use this product. Do not use without consulting a healthcare professional.


Why choose a liquid suspension?

  • Fast absorption after just 5 minutes compared to Viagra® tablets*

  • Effective treatment for erectile dysfunction

  • Gentle, easy-to-swallow liquid format

  • Flexible dosing allows you to drop your dose down if you're having side effects as well as increase if you're not finding the lower dose effective enough.

*Data based on mean plasma concentration after application of 8 pumps of HEZKUE®/BANDOL® (100 mg of sildenafil) compared to Viagra® tablets (100 mg sildenafil). Initial absorption of HEZKUE®/BANDOL® (100 mg of sildenafil) was observed within 5 minutes after administration (0.615 ng/mL, p = 0.012) vs Viagra® 100 mg tablets that showed no absorption at that time.

Remember to try a dose at least 6 times before you think about increasing and let our clinicians know so we can make sure you're safe to have it.

Whether you're starting treatment or adjusting your dose, this liquid spray makes it simple and convenient.

How Does Sildenafil Oral Spray work?

One of the great things about Hezkue® Sildenafil Oral Spray: it gets into your system within just 5 to 20 minutes after you take one dose, which is faster than standard 100 mg Viagra® tablets. Just keep in mind that this is when absorption starts, not when you’ll feel the effects. Everyone reacts differently, so it varies from person to person how long it takes to feel the full effects.

How effective is Hezkue® Sildenafil Suspension?

Hezkue® is just as effective as traditional sildenafil tablets, offering the same proven results for treating erectile dysfunction, but in a more flexible, easy-to-take liquid form.

Clinical studies show that Hezkue® delivers the same amount of active ingredient to your body as a standard 100 mg Viagra® tablet. In fact, a 2024 study by Kaplan et al., showed that Hezkue® began to absorb within just 5 minutes of dosing, while Viagra® tablets showed no absorption at that time.¹

Hezkue® also shares the same well-established safety profile as sildenafil tablets, so you can feel confident using it. Just like with any ED treatment, how well it works can vary from person to person, but Hezkue® gives you a clinically backed, easy-to-use option in a simple format that fits your lifestyle

¹Kaplan SA, et al. 2024. Data based on mean plasma concentration after application of 8 pumps of HEZKUE®/BANDOL® (100 mg of sildenafil) compared to Viagra® tablets (100 mg sildenafil).

How long do the effects of Sildenafil Suspension last?

Hezkue® can stay effective for about 4 to 5 hours. Just like regular sildenafil tablets, you can expect the effects of Hezkue® Sildenafil Suspension to last around that same time. This can make it easier for you to get and maintain an erection when you’re feeling aroused. But keep in mind, sildenafil doesn't create an erection on its own, you still need that spark of interest. While the active ingredient stays in your system for a few hours, its effectiveness does taper off a bit after the first few hours.

How to use Sildenafil Suspension Spray

Using Hezkue® is easy and flexible, allowing you to get the right dose.

For oral use:

Instructions for preparation of Hezkue oromucosal suspension before and after use.

  1. This medicinal product requires preparation before use.

  2. The bottle must be shaken, the lid replaced with the pump and nozzle and turned on.

  3. Before each use, 3 pumps are required to activate the product and this material should be discarded.

  4. Open your mouth and put the bottle next to your chin. Press the dosage pump as many times as required, according to the dose prescribed by your doctor. Apply the suspension onto the tongue and swallow the suspension immediately with saliva

  5. After use the pump must be removed and replaced with the lid. The pump part should be washed with water and dried.

For example:

  • 1 pump = 12.5 mg

  • 2 pumps = 25 mg

  • 4 pumps = 50 mg

  • 8 pumps = 100mg

This flexible dosing format makes starting low easy and adjusting gradually if needed.

Can you use Sildenafil Suspension and take Sildenafil tablets at the same time?

It's best to stick with just one form of Sildenafil at a time. While it might be tempting to try both the spray and the tablets, mixing them can increase the chances of experiencing side effects like headaches, low blood pressure, or dizziness. Most medical guidelines recommend using only one sildenafil product with each dose.

If you have any questions or you're thinking about switching between the forms, don't hesitate to reach out to your doctor or pharmacist for guidance first.

Sildenafil suspension dosage

Hezkue® comes in a liquid form that allows for more flexible dosing than traditional tablets. Your dose will depend on your individual needs, medical history, and your doctor’s advice. 

Here's a quick overview:

25mg - Ideal if you have certain health conditions or having side effects to the higher doses.

50mg - Standard recommended dose. This is the most commonly prescribed dose.

100mg - Maximum single dose. This is only to be used if advised by a doctor.

 Example bottle usage:

  • A 30 mL bottle at 25 mg/mL = At least 20 doses

  • A 30 mL bottle at 50 mg/mL = At least 10 doses

  • A 30mL bottle at 100mg/mL = At least 5 doses

 Important:

  • Do not exceed 100 mg in 24 hours.

  • Always follow your healthcare provider’s instructions on how much and how often to take.

Who is the spray suitable for?

Hezkue® is a gentle and flexible option designed to help many men manage erectile dysfunction, but it's not the right fit for everyone.

Here's a quick guide to who it's for (and who it's not):

Hezkue® may be suitable for:

  • Men diagnosed with erectile dysfunction

  • Anyone who prefers a liquid alternative to tablets

  • Men who have difficulty swallowing pills

  • Those who need flexible dosing

Hezkue® is not suitable for:

  • Anyone taking nitrate medications (for chest pain or heart conditions)

  • People with certain heart or liver conditions (always consult your doctor)

  • Those allergic to Sildenafil or any ingredients in the spray

  • Women, children, or anyone under 18

Always speak with a healthcare provider before starting any ED treatment to make sure it's right for you.

Sildenafil Spray side effects

Common (May affect up to 1 in 10 people)

- Headache

- Indigestion

- Dizziness

- Visual disturbances (blurred or blue-tinged vision)

Less common

- Flushing

- Nasal congestion

- Nausea or upset stomach

- Back pain or muscle aches

Rare but serious

- Chest pain or irregular heartbeat

- Sudden vision or hearing loss

- Allergic reactions (rash, swelling)

- Prolonged erection (over 4 hours)

When to seek immediate medical attention

Seek medical help right away if you experience:

  • Chest pain or irregular heartbeat

  • Sudden loss of vision or hearing

  • Prolonged or painful erection lasting more than 4 hours

  • Severe allergic reaction (e.g.difficulty breathing, swelling of face/lips/tongue)

Additional notes

  • Side effects reported with sildenafil spray were generally mild and consistent with those seen in sildenafil tablets.

  • In clinical studies, the product was generally well-tolerated.

  • Individual experiences may vary. Always consult your healthcare provider if you have concerns.

Frequently asked questions

Erectile dysfunction medicines

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