Why would an MD give Viagra to an infant?

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I'm a pharmacist, and when I had my first prescription to make a compounded Viagra suspension (crush up Viagra tablets and make it into a low dose liquid) for an infant... I freaked out a little bit too. It was on the weekend, and I left it for my partner to call St. Vincent Hospital in Indianapolis the following Monday to check what was going on before we'd make the compound. The parents were given a week supply when they left the hospital and understood why we were alarmed. Anyway, yes... this infant was using it for pulmonary hypertension too. I've made the compound a couple of times for this baby and it always makes me grin a little when I'm making it.

Viagra is indicated for two things: erectile dysfunction and pulmonary arterial hypertension. Both of those, an infant should not have.

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Why would an MD give Viagra to an infant?

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