Knowledge

PDE5 inhibitor

Source 📝

303: 20: 535:
PDE5 inhibitors prolong the action of cGMP by inhibiting its degradation by the enzyme PDE5, which is found throughout the body. In the penis, PDE5 inhibitors potentiate the effects of cGMP to prolong erections and increase sexual satisfaction. However, PDE5 inhibitors do not cause erections without
420:
which is present in the prostate, although no effects on fertility have been reported. Although agents more selective for PDE5 were in development, these trials have been suspended, likely due to the saturation of the market with the introduction of agents with broad cardiovascular benefits, such as
539:
As well as their haemodynamic effects, PDE5 inhibitors have also been shown to have anti-inflammatory, antioxidant, antiproliferative, and metabolic properties in several experiments. However, larger and longer-term studies are needed to establish their effectiveness and safety compared to other
471:
There are some PDE5 inhibitors, generally not approved by any health regulatory agency, that have been found as undeclared ingredients or adulterants in a variety of supplements which are sold as "natural" or "herbal" sexual enhancement products. Examples are
1322: 188:
Despite initial concerns of adverse cardiovascular events in patients prescribed PDE5 inhibitors, several long-term studies have established the safety of the drugs in both healthy patients and patients with cardiovascular risk factors.
310:
The PDE5 inhibitor story begins with the work of the British physician and physiologist Henry Hyde Salter who, in 1886, noticed that his asthma symptoms eased after drinking a strong cup of coffee. We now know that this was due to the
675:
Belch, Jill; Carlizza, Anita; Carpentier, Patrick H.; Constans, Joel; Khan, Faisel; Wautrecht, Jean-Claude; Visona, Adriana; Heiss, Christian; Brodeman, Marianne; Pécsvárady, Zsolt; Roztocil, Karel (2017-10-01).
2804: 2970: 3157: 2483: 760:
Webb DJ, Freestone S, Allen MJ, Muirhead GJ (March 1999). "Sildenafil citrate and blood-pressure-lowering drugs: results of drug interaction studies with an organic nitrate and a calcium antagonist".
2879: 404:
which affect how quickly it acts, how long its effects last, and its side effects. Notably, although all PDE5 inhibitors preferentially inhibit PDE5, the degree to which they also inhibit other
3679: 1043:
Uzunov P, Weiss B (September 1972). "Separation of multiple molecular forms of cyclic adenosine-3',5'-monophosphate phosphodiesterase in rat cerebellum by polyacrylamide gel electrophoresis".
3241: 3109: 1190:
Rao AR, Thwaini A, Ahmed HU, Shergill IS, Minhas S (July 2007). "The phosphodiesterase inhibitors and non-arteritic anterior ischaemic optic neuropathy: increased vigilance is necessary".
836:
Rao AR, Thwaini A, Ahmed HU, Shergill IS, Minhas S (July 2007). "The phosphodiesterase inhibitors and non-arteritic anterior ischaemic optic neuropathy: increased vigilance is necessary".
2809: 2779: 3378: 3264: 3197: 3064: 2115: 725:
Zhang R, Wang Y, Zhang L, Zhang Z, Tsang W, Lu M, et al. (November 2002). "Sildenafil (Viagra) induces neurogenesis and promotes functional recovery after stroke in rats".
3336: 3210: 3127: 2769: 416:
of the eye; this reaction is thought to be responsible for the temporary visual changes which some patients using sildenafil experience. Similarly tadalafil also inhibits
3672: 2357: 549: 3024: 3476: 3383: 3316: 3147: 3014: 3277: 3223: 3086: 3073: 3187: 2648: 3132: 2864: 3665: 1249: 3192: 2794: 2764: 3182: 2784: 493: 3137: 2789: 2613: 2608: 2108: 3422: 3019: 2759: 2628: 2618: 3034: 3029: 2859: 1766: 1909: 3440: 2350: 2458: 2101: 2063: 1628: 1528: 1518: 1488: 1425: 1355: 520:(cGMP), the main effector of the system. For example, in the penis, NO release at high levels from endothelial cells and penile nerves during 3177: 3162: 2940: 2920: 2889: 2463: 2443: 2438: 2433: 1842: 1736: 1493: 362: 3445: 3236: 3167: 2915: 2894: 2038: 2028: 1865: 1726: 1673: 1668: 1653: 1638: 1633: 1618: 1593: 1588: 1583: 1573: 1533: 1415: 1400: 1365: 1307: 366: 213: 3490: 3321: 3054: 2448: 2428: 1880: 1716: 1274: 370: 3356: 3351: 2965: 2960: 2884: 2579: 2574: 2569: 2564: 2343: 2058: 1663: 1613: 1508: 1390: 1242: 3346: 3341: 3331: 3311: 3044: 2559: 1901: 1503: 3657: 2955: 2869: 2820: 3142: 2754: 2874: 382: 71:
was the first effective oral treatment available for ED. Because PDE5 is also present in the smooth muscle of the walls of the
44: 1235: 888: 508:(NO) by vascular endothelial cells which then diffuses to nearby vascular smooth muscle cells. There, NO activates soluble 3119: 1072:
Weiss, B (1975). "Differential activation and inhibition of the multiple forms of cyclic nucleotide phosphodiesterase".
3545: 1932: 270:, although coadministration has not been linked to changes in the safety or efficacy of either agent. Combination with 224: 182: 302: 1118:
Weiss B, Hait WN (1977). "Selective cyclic nucleotide phosphodiesterase inhibitors as potential therapeutic agents".
259: 137:
Sildenafil, the prototypical PDE5 inhibitor, was originally discovered during the search of a novel treatment for
2774: 437: 239: 811: 258:. The potential exists for adverse drug interactions with other drugs which inhibit or induce CYP3A4, including 3745: 3559: 517: 426: 209:, nasal congestion or rhinitis. Back pain and muscle aches are also more common in patients taking tadalafil. 1094: 798: 611:"Established and emerging therapeutic uses of phosphodiesterase type 5 inhibitors in cardiovascular disease" 3647: 2633: 2083: 815: 275: 120: 3495: 3306: 2519: 2013: 1258: 205:
is a very common ADR, occurring in >10% of patients. Other common ADRs include: dizziness, flushing,
2643: 2529: 2417: 453: 162: 3687: 3872: 3801: 3831: 3576: 3104: 2836: 2524: 525: 251: 56: 949:
Dell'Agli M, Galli GV, Dal Cero E, Belluti F, Matera R, Zironi E, et al. (September 2008).
3689: 3573: 2831: 2534: 2274: 2093: 1927: 513: 461: 170: 116: 80: 3500: 2997: 2841: 2168: 445: 291: 198: 2846: 2799: 2623: 2549: 2539: 2304: 2269: 433: 377:
are available in some countries. Other agents with weak PDE5 inhibitory properties include
174: 157:
PDE5 inhibitors are contraindicated within 24 hours (or 48 hours with tadalafil) of taking
112: 64: 396:
Although all PDE5 inhibitors share the same mechanism of action, each agent has different
8: 3510: 2299: 235: 1131: 1095:"Properties and drug responsiveness of cyclic nucleotide phosphodiesterases of rat lung" 2741: 2698: 2372: 2294: 2187: 1215: 1173: 1148: 980: 926: 905: 861: 738: 637: 610: 521: 131: 127: 84: 79:, two PDE5 inhibitors, sildenafil and tadalafil, are FDA-approved for the treatment of 773: 149:, but clinical evidence for benefit in cerebrovascular diseases is currently lacking. 2718: 2408: 2314: 2242: 2145: 1761: 1207: 1203: 1178: 1135: 1106: 1081: 1060: 1056: 1021: 972: 931: 884: 853: 849: 777: 742: 707: 699: 642: 509: 485: 405: 197:
All PDE5 inhibitors are generally well tolerated. The occurrence of side effects, or
2335: 1219: 984: 865: 115:. Sildenafil and tadalafil are also indicated for the treatment of some subtypes of 3392: 2986: 2713: 2664: 2544: 2150: 1199: 1168: 1164: 1160: 1127: 1052: 1011: 962: 921: 913: 845: 769: 734: 689: 632: 622: 457: 401: 397: 271: 166: 1000:"Oral sildenafil in the treatment of erectile dysfunction. Sildenafil Study Group" 327:, started preclinical work on the development of a PDE5 inhibitor (later known as 181:. PDE5 inhibitors are also contraindicated in patients with previous nonarteritic 63:, facilitating erection with sexual stimulation, and are used in the treatment of 3580: 3251: 3039: 2638: 2309: 2182: 1972: 1781: 489: 422: 287: 138: 55:
cells lining the blood vessels supplying various tissues. These drugs dilate the
2128: 1016: 999: 998:
Goldstein I, Lue TF, Padma-Nathan H, Rosen RC, Steers WD, Wicker PA (May 1998).
694: 677: 223:
Since 2007 there has been evidence to suggest that PDE5 inhibitors can cause an
3846: 3259: 3152: 3049: 2749: 2736: 2723: 2369: 2160: 1967: 1741: 1721: 1465: 1332: 1227: 529: 481: 324: 312: 3866: 3541: 3290: 3099: 2728: 2708: 2703: 2688: 2163: 2048: 2008: 1917: 1701: 703: 473: 449: 228: 158: 52: 883:(in German) (2009/2010 ed.). Vienna: Österreichischer Apothekerverlag. 504:
Part of the physiological process of vasodilatation involves the release of
408:
influences their side effect profile. For example, sildenafil also inhibits
3735: 3720: 3706: 3697: 3693: 3618: 3594: 2925: 2693: 2393: 2380: 2366: 2202: 2192: 2043: 1982: 1947: 1937: 1847: 1603: 1543: 1385: 1211: 1182: 976: 935: 917: 857: 781: 746: 711: 660:
Kandeel FR. "Treatment of Erectile Dsyfunction in Men with Heart Disease".
646: 505: 441: 267: 263: 142: 126:
PDE5 inhibitors have been used as a second line therapy in severe cases of
3624:
cGMP preferring PDE inhibitors (e.g., sildenafil, paraxanthine, tadalafil)
1064: 1025: 234:
Finally, there are concerns that PDE5 inhibitors may increase the risk of
3753: 3631: 3402: 3326: 2935: 2930: 2815: 2656: 2554: 2398: 2319: 2237: 2227: 2222: 2207: 2177: 2023: 2018: 1977: 1942: 1870: 1837: 1751: 1683: 1643: 1623: 1578: 1538: 1523: 1455: 1450: 1370: 1360: 1302: 1284: 1110: 1085: 468:
due to our greater appreciation of their broad physiological properties.
354: 283: 178: 60: 1139: 678:"ESVM guidelines – the diagnosis and management of Raynaud's phenomenon" 3815: 3786: 3768: 3763: 3604: 3584: 3518: 3172: 2589: 2584: 2473: 2453: 2289: 2232: 2217: 2212: 2033: 1875: 1801: 1776: 1706: 1608: 1553: 1513: 1478: 1473: 1445: 1440: 1420: 1375: 1350: 951:"Potent inhibition of human phosphodiesterase-5 by icariin derivatives" 477: 378: 346: 338: 328: 104: 96: 68: 48: 40: 24: 967: 950: 627: 3810: 3791: 3730: 3715: 3590: 3549: 3412: 3407: 2468: 2324: 2197: 2137: 2053: 1987: 1952: 1885: 1819: 1791: 1771: 1746: 1568: 1548: 1430: 1410: 1405: 1380: 1340: 1279: 386: 374: 342: 206: 100: 72: 201:(ADRs), with PDE5 inhibitors depends on the dose and type of agent. 3851: 3836: 3758: 3725: 3611: 3567: 3553: 3468: 3370: 3059: 2950: 2497: 2388: 2284: 2247: 2068: 2003: 1962: 1922: 1796: 1711: 1648: 1598: 1558: 1483: 1345: 1317: 465: 358: 350: 316: 217: 202: 177:. Concurrent use of these medications can lead to life-threatening 108: 812:"FDA Announces Revisions to Labels for Cialis, Levitra and Viagra" 3841: 3531: 3397: 2910: 2905: 2854: 2673: 2668: 2594: 2514: 2503: 2124: 1756: 1731: 1658: 1563: 1498: 1435: 948: 390: 238:
in pregnant women, and trials investigating use of the drugs for
2123: 3627: 3523: 3417: 2980: 1786: 1678: 1395: 674: 413: 332: 320: 255: 146: 1895: 1857: 997: 417: 19: 1146: 3505: 3432: 3006: 2264: 1957: 1829: 1811: 1312: 1294: 1266: 550:
Discovery and development of phosphodiesterase 5 inhibitors
409: 279: 134:
per The European Society for Vascular Medicine guidelines.
76: 759: 319:, a non-selective, albeit weak, PDE5 inhibitor. In 1986, 609:
Tzoumas N, Farrah TE, Dhaun N, Webb DJ (November 2019).
282:
is contraindicated because potentially life-threatening
141:. Studies in 2002 explored its potential for increasing 119:, while tadalafil is also licensed for the treatment of 111:(Stendra) are clinically indicated for the treatment of 1189: 1147:
Kanthapillai P, Lasserson T, Walters E (October 2004).
835: 2389:
Nitroxyl anion (NO; oxonitrate(1-), hyponitrite anion)
903: 662:
Male Sexual Dysfunction: Pathophysiology and Treatment
608: 440:
are undergoing research in several conditions such as
2365: 524:
leads to relaxation of the smooth vasculature of the
801:
2006. Adelaide: Australian Medicines Handbook; 2006.
2880:
Methylamine hexamethylene methylamine/NO (MAHMA/NO)
724: 432:Nevertheless, PDE5 inhibitors already marketed for 87:benefits of PDE5 inhibitors are being appreciated. 904:Boswell-Smith V, Spina D, Page CP (January 2006). 220:would be added to drug labels of PDE5 inhibitors. 2694:Amyl nitrite (isoamyl nitrite, isopentyl nitrite) 250:PDE5 inhibitors are primarily metabolized by the 43:that works by blocking the degradative action of 3864: 1257: 353:are the main agents marketed globally, although 2555:Naproxcinod (nitronaproxen; AZD-3582, HCT-3012) 829: 216:(FDA) announced that a warning about possible 95:Phosphodiesterase-5 (PDE5) inhibitors such as 3673: 2971:N-Acetyl-N-acetoxy-4-chlorobenzenesulfonamide 2530:Ethylene glycol dinitrate (EGDN; nitroglycol) 2351: 2109: 1243: 1120:Annual Review of Pharmacology and Toxicology 1153:The Cochrane Database of Systematic Reviews 1092: 1042: 872: 286:may occur. PDE5 inhibitors do not interact 3680: 3666: 2358: 2344: 2116: 2102: 1250: 1236: 2714:Isobutyl nitrite (2-methylpropyl nitrite) 2624:Nitroglycerin (glyceryl trinitrate (GTN)) 1172: 1117: 1015: 966: 925: 878: 693: 636: 626: 27:(Viagra), the prototypical PDE5 inhibitor 301: 18: 2790:S-Nitrosocysteine (SNC, CysNO, SNO-Cys) 2780:S-Nitroso-N-valerylpenicillamine (SNVP) 1149:"Sildenafil for pulmonary hypertension" 804: 793: 791: 3865: 3688:Medications used in the management of 2775:S-Nitroso-N-acetylpenicillamine (SNAP) 2649:Sodium trioxodinitrate (Angeli's salt) 1074:Advances in Cyclic Nucleotide Research 499: 45:cGMP-specific phosphodiesterase type 5 3661: 2339: 2097: 1231: 1071: 604: 602: 600: 598: 596: 594: 592: 590: 588: 586: 584: 3610:non-selective PDE inhibitors (e.g., 2394:Nitric oxide (NO; nitrogen monoxide) 788: 582: 580: 578: 576: 574: 572: 570: 568: 566: 564: 306:Tadalafil STADA Pharma - T20 - 20 mg 245: 152: 2634:Pentaerithrityl tetranitrate (PETN) 2520:Diethylene glycol dinitrate (DEGDN) 1132:10.1146/annurev.pa.17.040177.002301 1004:The New England Journal of Medicine 659: 183:anterior ischaemic optic neuropathy 13: 3539:Indirect/downstream NO modulators: 3307:Asymmetric dimethylarginine (ADMA) 2416: 1035: 762:The American Journal of Cardiology 739:10.1161/01.STR.0000034399.95249.59 192: 33:phosphodiesterase type 5 inhibitor 14: 3884: 3337:Nitroarginine methyl ester (NAME) 2800:S-Nitrosoglutathione (GSNO, SNOG) 2770:S-Nitroso-N-acetylcysteine (SNAC) 2644:Propylene glycol dinitrate (PGDN) 2399:Nitrosonium (NO; nitrosyl cation) 561: 214:U.S. Food and Drug Administration 1204:10.1111/j.1464-410X.2007.06839.x 850:10.1111/j.1464-410X.2007.06839.x 3746:Endothelin receptor antagonists 3690:pulmonary arterial hypertension 2865:Diethylenetriamine/NO (DETA/NO) 1093:Fertel R, Weiss B (July 1976). 991: 942: 910:British Journal of Pharmacology 897: 664:. CRC Press, 2013. p. 453. 615:British Journal of Pharmacology 540:medications in other diseases. 438:pulmonary arterial hypertension 427:endothelin receptor antagonists 90: 3065:N-(1-Iminoethyl)-L-ornithine ( 1165:10.1002/14651858.CD003562.pub2 906:"Phosphodiesterase inhibitors" 753: 718: 668: 653: 518:cyclic guanosine monophosphate 185:and hereditary eye diseases. 1: 3648:Receptor/signaling modulators 3317:Guanidinoethyldisulfide (GED) 2535:Isosorbide mononitrate (ISMN) 2525:Erythritol tetranitrate (ETN) 2084:Receptor/signaling modulators 1045:Biochimica et Biophysica Acta 799:Australian Medicines Handbook 774:10.1016/S0002-9149(99)00044-2 555: 2785:S-Nitrosocaptopril (SNO-Cap) 2614:Nitroflurbiprofen (HCT-1026) 2609:Nitroatorvastatin (NCX-6560) 2127:, including antispasmodics ( 1259:Phosphodiesterase inhibitors 1057:10.1016/0005-2744(72)90060-5 912:. 147 Suppl 1 (S1): S252-7. 816:Food and Drug Administration 254:enzyme system, particularly 121:benign prostatic hyperplasia 7: 3260:Aminoguanidine (pimagedine) 3153:Aminoguanidine (pimagedine) 3050:Aminoguanidine (pimagedine) 2814:N-Nitroso compounds (e.g., 2629:Nitropravastatin (NCX-6550) 2540:Isosorbide dinitrate (ISDN) 1017:10.1056/NEJM199805143382001 955:Journal of Natural Products 543: 297: 10: 3889: 3546:AT-II receptor antagonists 3291:Nitroarginine (NNA, NOARG) 3128:1-Amino-2-hydroxyguanidine 3100:Nitroarginine (NNA, NOARG) 2847:Sodium nitroprusside (SNP) 532:and a sustained erection. 3824: 3800: 3777: 3744: 3705: 3641: 3458: 3431: 3369: 3299: 3250: 3118: 3005: 2996: 2979: 2496: 2407: 2379: 2256: 2159: 2136: 2077: 1996: 1908: 1894: 1856: 1828: 1810: 1692: 1464: 1331: 1293: 1265: 879:Haberfeld H, ed. (2009). 695:10.1024/0301-1526/a000661 454:intermittent claudication 225:anterior optic neuropathy 163:soluble guanylate cyclase 3832:Calcium channel blockers 3025:3-Chloro-5-nitroindazole 2860:Diethylamine/NO (DEA/NO) 2832:Metal nitrosyl complexes 2760:S-Nitrosoalbumin (SNALB) 2454:Cinaciguat (BAY 58-2667) 412:which is present in the 240:fetal growth restriction 83:. As of 2019, the wider 3617:PDE9 inhibitors (e.g., 3105:Pentamidine isethionate 3015:3-Bromo-7-nitroindazole 2902:Heterocyclic compounds: 2426:Activators/stimulators: 331:) for the treatment of 260:HIV protease inhibitors 3574:L-Type calcium channel 2275:Salicylhydroxamic acid 1928:Choline theophyllinate 1099:Molecular Pharmacology 918:10.1038/sj.bjp.0706495 514:guanosine triphosphate 462:chronic kidney disease 442:resistant hypertension 307: 199:adverse drug reactions 171:isosorbide mononitrate 130:when it is related to 117:pulmonary hypertension 81:pulmonary hypertension 28: 23:Chemical structure of 3178:Cindunistat (SD-6010) 3133:2-Ethylaminoguanidine 2890:Spermine/NO (SPER/NO) 2687:O-Nitroso compounds ( 1346:Amrinone (inamrinone) 446:myocardial infarction 305: 242:have been suspended. 22: 3564:receptor antagonists 3237:Ronopterin (VAS-203) 2936:Molsidomine (SIN-10) 2857:(diazeniumdiolates): 2837:Roussin's black salt 2550:Mannitol hexanitrate 2305:Pentosan polysulfate 2270:Acetohydroxamic acid 536:sexual stimulation. 458:Raynaud's phenomenon 434:erectile dysfunction 175:isosorbide dinitrate 169:medications such as 113:erectile dysfunction 65:erectile dysfunction 39:) is a vasodilating 2931:Linsidomine (SIN-1) 2828:Nitrosyl compounds: 2795:S-Nitrosodiclofenac 2765:S-Nitrosated AR545C 2750:S-Nitroso compounds 2300:Magnesium hydroxide 500:Mechanism of action 231:increase is small. 218:sudden hearing loss 3825:Adjunctive therapy 2842:Roussin's red salt 2699:Cyclohexyl nitrite 2590:Nipradilol (K-351) 2295:Dimethyl sulfoxide 522:sexual stimulation 494:thioquinapiperifil 406:phosphodiesterases 329:sildenafil citrate 308: 236:neonatal mortality 179:low blood pressure 132:systemic sclerosis 128:Raynaud phenomenon 29: 3860: 3859: 3655: 3654: 3480: 3471: 3454: 3453: 3387: 3365: 3364: 3285: 3281: 3272: 3268: 3265:N-(1-Iminoethyl)- 3231: 3227: 3218: 3214: 3211:N-(1-Iminoethyl)- 3205: 3201: 3198:N-(1-Iminoethyl)- 3138:2-Iminopiperidine 3094: 3090: 3081: 3077: 3068: 2990: 2719:Isopropyl nitrite 2665:Nitroso compounds 2507: 2492: 2491: 2333: 2332: 2315:Phenyl salicylate 2257:Other urologicals 2243:Trospium chloride 2146:Ammonium chloride 2091: 2090: 1762:Nitrosoprodenafil 1192:BJU International 968:10.1021/np800049y 890:978-3-85200-196-8 838:BJU International 797:Rossi S, editor. 628:10.1111/bph.14920 621:(24): 5467–5488. 526:corpus cavernosum 510:guanylate cyclase 486:nitrosoprodenafil 466:diabetes mellitus 272:nitrovasodilators 246:Drug interactions 153:Contraindications 57:corpora cavernosa 16:Vasodilating drug 3880: 3682: 3675: 3668: 3659: 3658: 3581:dihydropyridines 3481:-arginine (NOHA) 3478: 3469: 3423:alpha aminoacids 3393:chlorogenic acid 3388:-arginine (NOHA) 3385: 3283: 3279: 3270: 3266: 3229: 3225: 3216: 3212: 3203: 3199: 3092: 3088: 3079: 3075: 3066: 3020:3-Chloroindazole 3003: 3002: 2994: 2993: 2984: 2682: 2681: 2619:Nitrofluvastatin 2603: 2602: 2545:Itramin tosilate 2501: 2414: 2413: 2360: 2353: 2346: 2337: 2336: 2151:Calcium chloride 2118: 2111: 2104: 2095: 2094: 1252: 1245: 1238: 1229: 1228: 1223: 1186: 1176: 1143: 1114: 1089: 1068: 1030: 1029: 1019: 1010:(20): 1397–404. 995: 989: 988: 970: 946: 940: 939: 929: 901: 895: 894: 876: 870: 869: 833: 827: 826: 824: 823: 808: 802: 795: 786: 785: 757: 751: 750: 722: 716: 715: 697: 672: 666: 665: 657: 651: 650: 640: 630: 606: 423:SGLT2 inhibitors 402:pharmacodynamics 398:pharmacokinetics 292:antihypertensive 165:stimulators, or 3888: 3887: 3883: 3882: 3881: 3879: 3878: 3877: 3873:PDE5 inhibitors 3863: 3862: 3861: 3856: 3820: 3796: 3779:PDE5 inhibitors 3773: 3740: 3701: 3686: 3656: 3651: 3637: 3601:PDE5 inhibitors 3563: 3527: 3514: 3450: 3427: 3361: 3295: 3246: 3114: 3040:7-Nitroindazole 3035:6-Nitroindazole 3030:5-Nitroindazole 2983: 2975: 2752:(thionitrites): 2680: 2677: 2676: 2675: 2639:Propatylnitrate 2601: 2598: 2597: 2596: 2500: 2488: 2403: 2375: 2364: 2334: 2329: 2310:Phenazopyridine 2252: 2183:Desfesoterodine 2169:antimuscarinics 2166: 2155: 2132: 2122: 2092: 2087: 2073: 1992: 1973:Propentofylline 1904: 1890: 1852: 1824: 1806: 1782:Sulfoaildenafil 1767:Norcarbodenafil 1688: 1460: 1327: 1289: 1261: 1256: 1226: 1159:(4): CD003562. 1038: 1036:Further reading 1033: 996: 992: 947: 943: 902: 898: 891: 877: 873: 834: 830: 821: 819: 810: 809: 805: 796: 789: 768:(5A): 21C–28C. 758: 754: 733:(11): 2675–80. 723: 719: 673: 669: 658: 654: 607: 562: 558: 546: 512:which converts 502: 490:sulfoaildenafil 300: 288:synergistically 252:cytochrome P450 248: 227:, although the 195: 193:Adverse effects 155: 107:(Levitra), and 93: 17: 12: 11: 5: 3886: 3876: 3875: 3858: 3857: 3855: 3854: 3849: 3847:Oxygen therapy 3844: 3839: 3834: 3828: 3826: 3822: 3821: 3819: 3818: 3813: 3807: 3805: 3798: 3797: 3795: 3794: 3789: 3783: 3781: 3775: 3774: 3772: 3771: 3766: 3761: 3756: 3750: 3748: 3742: 3741: 3739: 3738: 3733: 3728: 3723: 3718: 3712: 3710: 3703: 3702: 3685: 3684: 3677: 3670: 3662: 3653: 3652: 3642: 3639: 3638: 3636: 3635: 3625: 3622: 3615: 3608: 3598: 3588: 3571: 3561: 3557: 3542:ACE inhibitors 3535: 3534: 3529: 3525: 3521: 3516: 3512: 3508: 3503: 3498: 3493: 3484: 3483: 3474: 3462: 3460: 3456: 3455: 3452: 3451: 3449: 3448: 3443: 3437: 3435: 3429: 3428: 3426: 3425: 3420: 3415: 3410: 3405: 3400: 3395: 3390: 3381: 3375: 3373: 3367: 3366: 3363: 3362: 3360: 3359: 3354: 3349: 3344: 3339: 3334: 3329: 3324: 3319: 3314: 3309: 3303: 3301: 3297: 3296: 3294: 3293: 3288: 3275: 3262: 3256: 3254: 3248: 3247: 3245: 3244: 3239: 3234: 3221: 3208: 3195: 3190: 3185: 3180: 3175: 3170: 3165: 3160: 3155: 3150: 3145: 3140: 3135: 3130: 3124: 3122: 3116: 3115: 3113: 3112: 3107: 3102: 3097: 3084: 3071: 3062: 3057: 3052: 3047: 3042: 3037: 3032: 3027: 3022: 3017: 3011: 3009: 3000: 2991: 2977: 2976: 2974: 2973: 2968: 2963: 2958: 2953: 2944: 2943: 2938: 2933: 2928: 2913: 2898: 2897: 2892: 2887: 2882: 2877: 2872: 2867: 2862: 2850: 2849: 2844: 2839: 2824: 2823: 2807: 2802: 2797: 2792: 2787: 2782: 2777: 2772: 2767: 2762: 2757: 2745:-Butyl nitrite 2739: 2737:Pentyl nitrite 2734: 2732:-Butyl nitrite 2726: 2724:Methyl nitrite 2721: 2716: 2711: 2706: 2701: 2696: 2689:alkyl nitrites 2678: 2660: 2659: 2654: 2651: 2646: 2641: 2636: 2631: 2626: 2621: 2616: 2611: 2606: 2599: 2592: 2587: 2582: 2577: 2572: 2567: 2562: 2557: 2552: 2547: 2542: 2537: 2532: 2527: 2522: 2510: 2508: 2494: 2493: 2490: 2489: 2487: 2486: 2477: 2476: 2471: 2466: 2461: 2456: 2451: 2446: 2441: 2436: 2431: 2422: 2420: 2411: 2405: 2404: 2402: 2401: 2396: 2391: 2385: 2383: 2377: 2376: 2363: 2362: 2355: 2348: 2340: 2331: 2330: 2328: 2327: 2322: 2317: 2312: 2307: 2302: 2297: 2292: 2287: 2278: 2277: 2272: 2260: 2258: 2254: 2253: 2251: 2250: 2245: 2240: 2235: 2230: 2225: 2220: 2215: 2210: 2205: 2200: 2195: 2190: 2185: 2180: 2174: 2172: 2164:antispasmodics 2157: 2156: 2154: 2153: 2148: 2142: 2140: 2134: 2133: 2121: 2120: 2113: 2106: 2098: 2089: 2088: 2078: 2075: 2074: 2072: 2071: 2066: 2061: 2056: 2051: 2046: 2041: 2036: 2031: 2026: 2021: 2016: 2011: 2006: 2000: 1998: 1994: 1993: 1991: 1990: 1985: 1980: 1975: 1970: 1968:Pentoxifylline 1965: 1960: 1955: 1950: 1945: 1940: 1935: 1930: 1925: 1920: 1914: 1912: 1906: 1905: 1900: 1898: 1892: 1891: 1889: 1888: 1883: 1878: 1873: 1868: 1862: 1860: 1854: 1853: 1851: 1850: 1845: 1840: 1834: 1832: 1826: 1825: 1823: 1822: 1816: 1814: 1808: 1807: 1805: 1804: 1799: 1794: 1789: 1784: 1779: 1774: 1769: 1764: 1759: 1754: 1749: 1744: 1742:Homosildenafil 1739: 1734: 1729: 1724: 1722:Benzamidenafil 1719: 1714: 1709: 1704: 1698: 1696: 1690: 1689: 1687: 1686: 1681: 1676: 1671: 1666: 1661: 1656: 1651: 1646: 1641: 1636: 1631: 1626: 1621: 1616: 1611: 1606: 1601: 1596: 1591: 1586: 1581: 1576: 1571: 1566: 1561: 1556: 1551: 1546: 1541: 1536: 1531: 1526: 1521: 1516: 1511: 1506: 1501: 1496: 1491: 1486: 1481: 1476: 1470: 1468: 1462: 1461: 1459: 1458: 1453: 1448: 1443: 1438: 1433: 1428: 1423: 1418: 1413: 1408: 1403: 1398: 1393: 1388: 1383: 1378: 1373: 1368: 1363: 1358: 1353: 1348: 1343: 1337: 1335: 1329: 1328: 1326: 1325: 1320: 1315: 1310: 1305: 1299: 1297: 1291: 1290: 1288: 1287: 1282: 1277: 1271: 1269: 1263: 1262: 1255: 1254: 1247: 1240: 1232: 1225: 1224: 1187: 1144: 1115: 1090: 1069: 1039: 1037: 1034: 1032: 1031: 990: 941: 896: 889: 871: 828: 803: 787: 752: 717: 688:(6): 413–423. 667: 652: 559: 557: 554: 553: 552: 545: 542: 530:vasocongestion 501: 498: 482:homosildenafil 323:scientists at 315:properties of 313:bronchodilator 299: 296: 247: 244: 194: 191: 159:alpha-blockers 154: 151: 92: 89: 85:cardiovascular 37:PDE5 inhibitor 15: 9: 6: 4: 3: 2: 3885: 3874: 3871: 3870: 3868: 3853: 3850: 3848: 3845: 3843: 3840: 3838: 3835: 3833: 3830: 3829: 3827: 3823: 3817: 3814: 3812: 3809: 3808: 3806: 3803: 3799: 3793: 3790: 3788: 3785: 3784: 3782: 3780: 3776: 3770: 3767: 3765: 3762: 3760: 3757: 3755: 3752: 3751: 3749: 3747: 3743: 3737: 3734: 3732: 3729: 3727: 3724: 3722: 3719: 3717: 3714: 3713: 3711: 3708: 3704: 3699: 3695: 3691: 3683: 3678: 3676: 3671: 3669: 3664: 3663: 3660: 3650: 3649: 3646: 3640: 3633: 3629: 3626: 3623: 3620: 3616: 3613: 3609: 3606: 3602: 3599: 3596: 3592: 3589: 3586: 3582: 3578: 3575: 3572: 3569: 3565: 3558: 3555: 3551: 3547: 3543: 3540: 3537: 3536: 3533: 3530: 3528: 3522: 3520: 3517: 3515: 3509: 3507: 3504: 3502: 3499: 3497: 3494: 3492: 3489: 3486: 3485: 3482: 3475: 3473: 3467: 3464: 3463: 3461: 3457: 3447: 3444: 3442: 3441:Calmidazolium 3439: 3438: 3436: 3434: 3430: 3424: 3421: 3419: 3416: 3414: 3411: 3409: 3406: 3404: 3401: 3399: 3396: 3394: 3391: 3389: 3382: 3380: 3377: 3376: 3374: 3372: 3368: 3358: 3355: 3353: 3350: 3348: 3345: 3343: 3340: 3338: 3335: 3333: 3330: 3328: 3325: 3323: 3320: 3318: 3315: 3313: 3310: 3308: 3305: 3304: 3302: 3298: 3292: 3289: 3287: 3276: 3274: 3263: 3261: 3258: 3257: 3255: 3253: 3249: 3243: 3240: 3238: 3235: 3233: 3222: 3220: 3209: 3207: 3196: 3194: 3191: 3189: 3186: 3184: 3181: 3179: 3176: 3174: 3171: 3169: 3166: 3164: 3161: 3159: 3156: 3154: 3151: 3149: 3146: 3144: 3141: 3139: 3136: 3134: 3131: 3129: 3126: 3125: 3123: 3121: 3117: 3111: 3108: 3106: 3103: 3101: 3098: 3096: 3085: 3083: 3072: 3070: 3063: 3061: 3058: 3056: 3053: 3051: 3048: 3046: 3043: 3041: 3038: 3036: 3033: 3031: 3028: 3026: 3023: 3021: 3018: 3016: 3013: 3012: 3010: 3008: 3004: 3001: 2999: 2995: 2992: 2988: 2982: 2978: 2972: 2969: 2967: 2964: 2962: 2959: 2957: 2954: 2952: 2949: 2946: 2945: 2942: 2939: 2937: 2934: 2932: 2929: 2927: 2924: 2922: 2917: 2914: 2912: 2909: 2907: 2903: 2900: 2899: 2896: 2893: 2891: 2888: 2886: 2883: 2881: 2878: 2876: 2873: 2871: 2868: 2866: 2863: 2861: 2858: 2856: 2852: 2851: 2848: 2845: 2843: 2840: 2838: 2835: 2833: 2829: 2826: 2825: 2822: 2819: 2817: 2811: 2808: 2806: 2803: 2801: 2798: 2796: 2793: 2791: 2788: 2786: 2783: 2781: 2778: 2776: 2773: 2771: 2768: 2766: 2763: 2761: 2758: 2756: 2753: 2751: 2746: 2744: 2740: 2738: 2735: 2733: 2731: 2727: 2725: 2722: 2720: 2717: 2715: 2712: 2710: 2709:Hexyl nitrite 2707: 2705: 2704:Ethyl nitrite 2702: 2700: 2697: 2695: 2692: 2690: 2684: 2672: 2670: 2666: 2662: 2661: 2658: 2655: 2652: 2650: 2647: 2645: 2642: 2640: 2637: 2635: 2632: 2630: 2627: 2625: 2622: 2620: 2617: 2615: 2612: 2610: 2607: 2605: 2593: 2591: 2588: 2586: 2583: 2581: 2578: 2576: 2573: 2571: 2568: 2566: 2563: 2561: 2558: 2556: 2553: 2551: 2548: 2546: 2543: 2541: 2538: 2536: 2533: 2531: 2528: 2526: 2523: 2521: 2518: 2516: 2512: 2511: 2509: 2505: 2499: 2495: 2485: 2482: 2479: 2478: 2475: 2472: 2470: 2467: 2465: 2462: 2460: 2457: 2455: 2452: 2450: 2447: 2445: 2442: 2440: 2437: 2435: 2432: 2430: 2427: 2424: 2423: 2421: 2419: 2415: 2412: 2410: 2406: 2400: 2397: 2395: 2392: 2390: 2387: 2386: 2384: 2382: 2378: 2374: 2371: 2368: 2361: 2356: 2354: 2349: 2347: 2342: 2341: 2338: 2326: 2323: 2321: 2318: 2316: 2313: 2311: 2308: 2306: 2303: 2301: 2298: 2296: 2293: 2291: 2288: 2286: 2283: 2280: 2279: 2276: 2273: 2271: 2268: 2266: 2262: 2261: 2259: 2255: 2249: 2246: 2244: 2241: 2239: 2236: 2234: 2231: 2229: 2226: 2224: 2221: 2219: 2216: 2214: 2211: 2209: 2206: 2204: 2201: 2199: 2196: 2194: 2191: 2189: 2186: 2184: 2181: 2179: 2176: 2175: 2173: 2170: 2165: 2162: 2158: 2152: 2149: 2147: 2144: 2143: 2141: 2139: 2135: 2130: 2126: 2119: 2114: 2112: 2107: 2105: 2100: 2099: 2096: 2086: 2085: 2082: 2076: 2070: 2067: 2065: 2062: 2060: 2057: 2055: 2052: 2050: 2049:Proxyphylline 2047: 2045: 2042: 2040: 2037: 2035: 2032: 2030: 2027: 2025: 2022: 2020: 2017: 2015: 2012: 2010: 2009:Diprophylline 2007: 2005: 2002: 2001: 1999: 1995: 1989: 1986: 1984: 1981: 1979: 1976: 1974: 1971: 1969: 1966: 1964: 1961: 1959: 1956: 1954: 1951: 1949: 1946: 1944: 1941: 1939: 1936: 1934: 1931: 1929: 1926: 1924: 1921: 1919: 1918:Aminophylline 1916: 1915: 1913: 1911: 1910:Non-selective 1907: 1903: 1899: 1897: 1893: 1887: 1884: 1882: 1879: 1877: 1874: 1872: 1869: 1867: 1864: 1863: 1861: 1859: 1855: 1849: 1846: 1844: 1841: 1839: 1836: 1835: 1833: 1831: 1827: 1821: 1818: 1817: 1815: 1813: 1809: 1803: 1800: 1798: 1795: 1793: 1790: 1788: 1785: 1783: 1780: 1778: 1775: 1773: 1770: 1768: 1765: 1763: 1760: 1758: 1755: 1753: 1750: 1748: 1745: 1743: 1740: 1738: 1735: 1733: 1730: 1728: 1725: 1723: 1720: 1718: 1715: 1713: 1710: 1708: 1705: 1703: 1702:Acetildenafil 1700: 1699: 1697: 1695: 1691: 1685: 1682: 1680: 1677: 1675: 1672: 1670: 1667: 1665: 1662: 1660: 1657: 1655: 1652: 1650: 1647: 1645: 1642: 1640: 1637: 1635: 1632: 1630: 1627: 1625: 1622: 1620: 1617: 1615: 1612: 1610: 1607: 1605: 1602: 1600: 1597: 1595: 1592: 1590: 1587: 1585: 1582: 1580: 1577: 1575: 1572: 1570: 1567: 1565: 1562: 1560: 1557: 1555: 1552: 1550: 1547: 1545: 1542: 1540: 1537: 1535: 1532: 1530: 1527: 1525: 1522: 1520: 1517: 1515: 1512: 1510: 1507: 1505: 1502: 1500: 1497: 1495: 1492: 1490: 1487: 1485: 1482: 1480: 1477: 1475: 1472: 1471: 1469: 1467: 1463: 1457: 1454: 1452: 1449: 1447: 1444: 1442: 1439: 1437: 1434: 1432: 1429: 1427: 1424: 1422: 1419: 1417: 1414: 1412: 1409: 1407: 1404: 1402: 1399: 1397: 1394: 1392: 1389: 1387: 1384: 1382: 1379: 1377: 1374: 1372: 1369: 1367: 1364: 1362: 1359: 1357: 1354: 1352: 1349: 1347: 1344: 1342: 1339: 1338: 1336: 1334: 1330: 1324: 1321: 1319: 1316: 1314: 1311: 1309: 1306: 1304: 1301: 1300: 1298: 1296: 1292: 1286: 1283: 1281: 1278: 1276: 1273: 1272: 1270: 1268: 1264: 1260: 1253: 1248: 1246: 1241: 1239: 1234: 1233: 1230: 1221: 1217: 1213: 1209: 1205: 1201: 1197: 1193: 1188: 1184: 1180: 1175: 1170: 1166: 1162: 1158: 1154: 1150: 1145: 1141: 1137: 1133: 1129: 1125: 1121: 1116: 1112: 1108: 1105:(4): 678–87. 1104: 1100: 1096: 1091: 1087: 1083: 1079: 1075: 1070: 1066: 1062: 1058: 1054: 1050: 1046: 1041: 1040: 1027: 1023: 1018: 1013: 1009: 1005: 1001: 994: 986: 982: 978: 974: 969: 964: 961:(9): 1513–7. 960: 956: 952: 945: 937: 933: 928: 923: 919: 915: 911: 907: 900: 892: 886: 882: 881:Austria-Codex 875: 867: 863: 859: 855: 851: 847: 843: 839: 832: 817: 813: 807: 800: 794: 792: 783: 779: 775: 771: 767: 763: 756: 748: 744: 740: 736: 732: 728: 721: 713: 709: 705: 701: 696: 691: 687: 683: 679: 671: 663: 656: 648: 644: 639: 634: 629: 624: 620: 616: 612: 605: 603: 601: 599: 597: 595: 593: 591: 589: 587: 585: 583: 581: 579: 577: 575: 573: 571: 569: 567: 565: 560: 551: 548: 547: 541: 537: 533: 531: 527: 523: 519: 515: 511: 507: 497: 495: 491: 487: 483: 479: 475: 474:acetildenafil 469: 467: 463: 459: 455: 451: 450:heart failure 447: 443: 439: 435: 430: 428: 424: 419: 415: 411: 407: 403: 399: 394: 392: 388: 384: 380: 376: 372: 368: 364: 360: 356: 352: 348: 344: 340: 336: 334: 330: 326: 322: 318: 314: 304: 295: 293: 289: 285: 281: 277: 276:nitroglycerin 273: 269: 265: 261: 257: 253: 243: 241: 237: 232: 230: 229:absolute risk 226: 221: 219: 215: 212:In 2007, the 210: 208: 204: 200: 190: 186: 184: 180: 176: 172: 168: 164: 160: 150: 148: 144: 140: 135: 133: 129: 124: 122: 118: 114: 110: 106: 102: 98: 88: 86: 82: 78: 74: 70: 66: 62: 58: 54: 53:smooth muscle 50: 46: 42: 38: 34: 26: 21: 3778: 3736:Treprostinil 3721:Epoprostenol 3707:Prostacyclin 3644: 3643: 3619:paraxanthine 3600: 3595:beta blocker 3538: 3487: 3465: 3269:-ornithine ( 3202:-ornithine ( 2947: 2926:Feprosidnine 2921:Sydnonimines 2919: 2904: 2901: 2853: 2830: 2827: 2816:nitrosamines 2813: 2748: 2742: 2729: 2686: 2663: 2513: 2480: 2459:GSK-2181236A 2425: 2367:Nitric oxide 2281: 2263: 2203:Imidafenacin 2193:Fesoterodine 2080: 2079: 2064:Tolafentrine 2044:Pentifylline 1983:Theophylline 1948:Enprofylline 1938:Dipyridamole 1848:Paraxanthine 1693: 1629:Pumafentrine 1604:Mesembrenone 1544:Ensifentrine 1529:Denbutylline 1519:Cipamfylline 1489:Benafentrine 1426:Pumafentrine 1386:Ensifentrine 1356:Benafentrine 1195: 1191: 1156: 1152: 1123: 1119: 1102: 1098: 1077: 1073: 1051:(1): 220–6. 1048: 1044: 1007: 1003: 993: 958: 954: 944: 909: 899: 880: 874: 841: 837: 831: 820:. Retrieved 818:. 2007-10-18 806: 765: 761: 755: 730: 726: 720: 685: 681: 670: 661: 655: 618: 614: 538: 534: 506:nitric oxide 503: 470: 431: 395: 337: 325:Sandwich, UK 309: 268:itraconazole 264:ketoconazole 249: 233: 222: 211: 196: 187: 156: 143:neurogenesis 136: 125: 94: 91:Medical uses 36: 32: 30: 3804:stimulators 3754:Ambrisentan 3632:simvastatin 3466:Precursors: 3403:epicatechin 3327:Indospicine 3282:-arginine ( 3228:-arginine ( 3163:AR-C 102222 3091:-arginine ( 3078:-arginine ( 2941:Sydnonimine 2674:Nitrite (NO 2657:Trolnitrate 2653:Tenitramine 2595:Nitrate (NO 2481:Inhibitors: 2464:Praliciguat 2444:BAY 60-4552 2439:BAY 41-8543 2434:BAY 41-2272 2320:Succinimide 2238:Tolterodine 2228:Solifenacin 2223:Propiverine 2208:Meladrazine 2178:Darifenacin 2167:(primarily 2125:Urologicals 2024:Lisofylline 2019:Furafylline 1978:Theobromine 1943:Doxofylline 1871:Mardepodect 1843:PF-04447943 1838:BAY 73-6691 1752:Mirodenafil 1737:Gisadenafil 1684:Zardaverine 1644:Roflumilast 1624:Piclamilast 1579:Irsogladine 1539:Drotaverine 1524:Crisaborole 1494:Catramilast 1456:Zardaverine 1451:Vesnarinone 1371:Cilostamide 1361:Bucladesine 1303:BAY 60-7550 1285:Vinpocetine 1080:: 195–211. 363:gisadenafil 355:mirodenafil 290:with other 284:hypotension 75:within the 3816:Vericiguat 3787:Sildenafil 3769:Sitaxentan 3764:Macitentan 3605:sildenafil 3585:nifedipine 3488:Cofactors: 3477:N-Hydroxy- 3384:N-Hydroxy- 3173:Canavanine 3168:BYK-191023 2987:inhibitors 2916:REC15/2739 2895:V-PYRRO/NO 2585:Nicorandil 2474:Vericiguat 2373:modulators 2290:Dapoxetine 2267:analogues: 2233:Terodiline 2218:Oxybutynin 2213:Mirabegron 2188:Emepronium 2138:Acidifiers 2039:Oxagrelate 2034:Moxaverine 2029:MDL-12330A 1876:Papaverine 1866:Balipodect 1802:Vardenafil 1777:Sildenafil 1727:Dasantafil 1707:Aildenafil 1674:Tofimilast 1669:Tetomilast 1654:Ronomilast 1639:Ro 20-1724 1634:Revamilast 1619:Oglemilast 1609:Mesembrine 1594:Lotamilast 1589:Lirimilast 1584:Lavamilast 1574:Indimilast 1554:Filaminast 1534:Difamilast 1514:Cilomilast 1479:Arofylline 1474:Apremilast 1446:Trequinsin 1441:Siguazodan 1421:Pimobendan 1416:Parogrelil 1401:Meribendan 1376:Cilostazol 1366:Carbazeran 1351:Anagrelide 1308:Carbazeran 1198:(1): 3–4. 1126:: 441–77. 844:(1): 3–4. 822:2011-10-30 556:References 528:, causing 478:aildenafil 379:fenspiride 367:yonkenafil 347:vardenafil 339:Sildenafil 105:vardenafil 103:(Cialis), 99:(Viagra), 97:sildenafil 73:arterioles 69:Sildenafil 49:cyclic GMP 47:(PDE5) on 25:sildenafil 3837:Diuretics 3811:Riociguat 3792:Tadalafil 3731:Selexipag 3716:Beraprost 3709:analogues 3645:See also: 3591:Nebivolol 3550:captopril 3472:-Arginine 3413:norvaline 3408:ornithine 3322:GW-273629 3278:N-Methyl- 3224:N-Methyl- 3215:-lysine ( 3087:N-Propyl- 3074:N-Methyl- 3055:ARL-17477 2948:Unsorted: 2498:NO donors 2469:Riociguat 2449:BI-703704 2429:Ataciguat 2370:signaling 2325:Tiopronin 2198:Flavoxate 2081:See also: 2054:Quercetin 1988:Zaprinast 1953:Ibudilast 1886:Tofisopam 1881:TC-E 5005 1820:BRL-50481 1792:Tadalafil 1772:SCH-51866 1747:Lodenafil 1717:Beminafil 1569:ICI-63197 1549:Etazolate 1431:Quazinone 1411:Olprinone 1406:Milrinone 1381:Enoximone 1341:Adibendan 1280:SCH-51866 704:0301-1526 516:(GTP) to 387:zaprinast 375:lodenafil 371:tunodafil 343:tadalafil 207:dyspepsia 101:tadalafil 3867:Category 3852:Warfarin 3759:Bosentan 3726:Iloprost 3612:caffeine 3577:blockers 3568:bosentan 3554:losartan 3371:Arginase 3357:VAS-2381 3352:ONO-1714 3300:Unsorted 3060:Indazole 2966:FR146881 2961:FR144220 2951:Cimlanod 2906:Furoxans 2885:PROLI/NO 2855:NONOates 2805:SNO-t-PA 2669:nitrites 2580:NCX-4215 2575:NCX 4040 2570:NCX-4016 2565:NCX-2216 2515:Nitrates 2504:prodrugs 2285:Collagen 2248:Vibegron 2069:Trapidil 2059:Satigrel 2004:Diazepam 1997:Unsorted 1963:Luteolin 1923:Caffeine 1797:Udenafil 1712:Avanafil 1664:RS-25344 1649:Rolipram 1614:Mesopram 1599:Luteolin 1559:Glaucine 1509:CGH-2466 1484:Atizoram 1391:Imazodan 1318:Oxindole 1220:43862884 1212:17488310 1183:15495058 985:86637628 977:18778098 936:16402111 866:43862884 858:17488310 782:10078539 747:12411660 712:28895508 647:31721165 544:See also 359:udenafil 351:avanafil 317:caffeine 298:Examples 274:such as 203:Headache 109:avanafil 3842:Digoxin 3630:(e.g., 3628:Statins 3603:(e.g., 3579:(e.g., 3566:(e.g., 3548:(e.g., 3398:ginseng 3347:NXN-462 3342:NCX-456 3332:KD-7040 3312:CKD-712 3045:A-84643 2911:Furoxan 2810:SNO-vWF 2560:NCX-466 2409:Targets 2161:Urinary 1902:BC11-38 1757:MY-5445 1732:Icariin 1659:RPL-554 1564:HT-0712 1504:CDP-840 1499:CC-1088 1436:RPL-554 1174:6396057 1065:4342220 1026:9580646 927:1760738 638:7707100 391:icariin 294:drugs. 167:nitrate 59:of the 51:in the 3459:Others 3418:lysine 2981:Enzyme 2956:FK-409 2870:GLO/NO 2821:SIN-1A 2282:Other: 1787:T-0156 1679:YM-976 1396:KMUP-1 1218:  1210:  1181:  1171:  1138:  1111:183099 1109:  1086:165666 1084:  1063:  1024:  983:  975:  934:  924:  887:  864:  856:  780:  745:  727:Stroke 710:  702:  645:  635:  488:, and 464:, and 414:retina 373:) and 333:angina 321:Pfizer 266:, and 256:CYP3A4 147:stroke 145:after 139:angina 67:(ED). 3491:NADPH 3286:-NMA) 3273:-NIO) 3232:-NMA) 3219:-NIL) 3206:-NIO) 3148:AEITU 3143:1400W 3095:-NPA) 3082:-NMA) 3069:-NIO) 2755:LA810 2381:Forms 2014:DPCPX 1896:PDE11 1858:PDE10 1216:S2CID 1140:17360 981:S2CID 862:S2CID 418:PDE11 77:lungs 61:penis 3506:Heme 3433:CAMK 3252:eNOS 3242:TRIM 3193:MITU 3188:IPTU 3183:EITU 3120:iNOS 3110:TRIM 3007:nNOS 2875:JS-K 2743:tert 2265:Urea 2129:G04B 1958:IBMX 1830:PDE9 1812:PDE7 1694:PDE5 1466:PDE4 1333:PDE3 1313:EHNA 1295:PDE2 1275:MMPX 1267:PDE1 1208:PMID 1179:PMID 1157:2004 1136:PMID 1107:PMID 1082:PMID 1061:PMID 1022:PMID 973:PMID 932:PMID 885:ISBN 854:PMID 778:PMID 743:PMID 708:PMID 700:ISSN 682:Vasa 643:PMID 436:and 425:and 410:PDE6 400:and 389:and 383:MBCQ 349:and 280:PETN 278:and 41:drug 3802:sGC 3698:C02 3694:B01 3519:CaM 3501:FMN 3496:FAD 3446:W-7 3379:ABH 3158:AMT 2998:NOS 2484:ODQ 2418:sGC 1933:CPX 1323:PDP 1200:doi 1196:100 1169:PMC 1161:doi 1128:doi 1053:doi 1049:284 1012:doi 1008:338 963:doi 922:PMC 914:doi 846:doi 842:100 770:doi 735:doi 690:doi 633:PMC 623:doi 619:177 335:. 173:or 3869:: 3696:, 3583:: 3560:ET 3552:, 3532:Ca 3511:BH 2918:; 2818:): 2812:; 2747:; 2691:): 2685:; 1214:. 1206:. 1194:. 1177:. 1167:. 1155:. 1151:. 1134:. 1124:17 1122:. 1103:12 1101:. 1097:. 1076:. 1059:. 1047:. 1020:. 1006:. 1002:. 979:. 971:. 959:71 957:. 953:. 930:. 920:. 908:. 860:. 852:. 840:. 814:. 790:^ 776:. 766:83 764:. 741:. 731:33 729:. 706:. 698:. 686:46 684:. 680:. 641:. 631:. 617:. 613:. 563:^ 496:. 492:, 484:, 480:, 476:, 460:, 456:, 452:, 448:, 444:, 429:. 393:. 385:, 381:, 365:, 361:, 357:, 345:, 341:, 262:, 161:, 123:. 31:A 3700:) 3692:( 3681:e 3674:t 3667:v 3634:) 3621:) 3614:) 3607:) 3597:) 3593:( 3587:) 3570:) 3562:B 3556:) 3544:/ 3526:2 3524:O 3513:4 3479:L 3470:L 3386:L 3284:L 3280:L 3271:L 3267:L 3230:L 3226:L 3217:L 3213:L 3204:L 3200:L 3093:L 3089:L 3080:L 3076:L 3067:L 2989:) 2985:( 2923:: 2908:: 2834:: 2730:n 2683:) 2679:2 2671:: 2667:/ 2604:) 2600:3 2517:: 2506:) 2502:( 2359:e 2352:t 2345:v 2171:) 2131:) 2117:e 2110:t 2103:v 1251:e 1244:t 1237:v 1222:. 1202:: 1185:. 1163:: 1142:. 1130:: 1113:. 1088:. 1078:5 1067:. 1055:: 1028:. 1014:: 987:. 965:: 938:. 916:: 893:. 868:. 848:: 825:. 784:. 772:: 749:. 737:: 714:. 692:: 649:. 625:: 369:( 35:(

Index


sildenafil
drug
cGMP-specific phosphodiesterase type 5
cyclic GMP
smooth muscle
corpora cavernosa
penis
erectile dysfunction
Sildenafil
arterioles
lungs
pulmonary hypertension
cardiovascular
sildenafil
tadalafil
vardenafil
avanafil
erectile dysfunction
pulmonary hypertension
benign prostatic hyperplasia
Raynaud phenomenon
systemic sclerosis
angina
neurogenesis
stroke
alpha-blockers
soluble guanylate cyclase
nitrate
isosorbide mononitrate

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.