The 6-Minute Rule for Sildenafil - Side Effects, Uses, Dosage, Overdose - RxWiki

The 6-Minute Rule for Sildenafil - Side Effects, Uses, Dosage, Overdose  - RxWiki

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MEDICAL PHARMACOLOGY System Of Action The physiologic system of erection of the penis includes release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. NO then triggers the enzyme guanylate cyclase, which leads to increased levels of cyclic guanosine monophosphate (c, GMP), producing smooth muscle relaxation in the corpus cavernosum and permitting inflow of blood.


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Sildenafil has no direct relaxant  impact on separated human corpus cavernosum. When sexual stimulation causes local release of NO, inhibition of PDE5 by sildenafil triggers increased levels of c, GMP in the corpus cavernosum, resulting in smooth muscle relaxation and inflow of blood to the corpus cavernosum.  Full Article  at recommended doses has no result in the absence of sexual stimulation.


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Its effect is more powerful on PDE5 than on other known phosphodiesterases (10-fold for PDE6, > 80-fold for PDE1, > 700-fold for PDE2, PDE3, PDE4, PDE7, PDE8, PDE9, PDE10, and PDE11). Sildenafil is roughly 4,000-fold more selective for PDE5 compared to PDE3. PDE3 is involved in control of cardiac contractility.


This lower selectivity is believed to be the basis for problems associated with color vision [see Pharmacodynamics] In addition to human corpus cavernosum smooth muscle, PDE5 is likewise found in other tissues including platelets, vascular and visceral smooth muscle, and skeletal muscle, brain, heart, liver, kidney, lung, pancreas, prostate, bladder, testis, and seminal vesicle.


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Pharmacodynamics In eight double-blind, placebo-controlled crossover studies of clients with either natural or psychogenic impotence, sexual stimulation resulted in enhanced erections, as evaluated by an objective measurement of solidity and period of erections (Rigi, Scan), after VIAGRA administration compared to placebo. A lot of research studies evaluated the efficacy of VIAGRA roughly 60 minutes post dose.


The time course of result was examined in one research study, showing an impact for up to 4 hours however the reaction was reduced compared to 2 hours. Single oral dosages of sildenafil (100 mg) administered to healthy volunteers produced decreases in sitting high blood pressure (mean maximum reduction in systolic/diastolic high blood pressure of 8.


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3 mm, Hg). The decline in sitting high blood pressure was most significant approximately 1-2 hours after dosing, and was not different than placebo at 8 hours. Comparable impacts on high blood pressure were kept in mind with 25 mg, 50 mg and 100 mg of VIAGRA, therefore the results are not related to dosage or plasma levels within this dosage variety.