Acute a 32 year old male came to emergency department with complaint of diaphoresis, multiple episodes of vomiting associated with lower abdominal pain and a choking sensation that leads him feeling of shortness of breath. On local examination there was no scar marks, no redness on body. On further examination the patient was conscious and little drowsy but in arousable state. On further evaluation, the patient was hypotensive with tachycardia and tachypnoea.

Patient had no known comorbidity. On further assessment patient and his attendant gave history of ingestion of tab Viagra 75 mg orally 5 hours back prior coming to the hospital. As per patient symptoms started after 2 hours of ingestion of tab Viagra 75 mg. Patient was immediately taken on to symptomatic supportive treatment with intravenous fluids, ionotropic support and oxygen support. All relevant investigations sent from emergency department and patient was advised admission in Intensive Care Unit for observation. Patient was discharged after an observation period of 24 hours in haemodynamically stable condition.

Keywords: Sildenafil citrate; Intravenous fluids; Ionotropic support; Oxygen support.