Erectile Dysfunction (ED) Flashcards

1
Q

Revatio
Viagra

  • MOA
  • C/I
  • ADEs
  • Dose/Indication
  • DDI
A

Sildenafil

  • MOA: PDE5 inhibitors => inc cGMP => incr SM relaxation and inflow of blood into the corpus cavernous.
  • C/I: nitrate use (severe hypoTN)
  • ADEs: HA, flushing, visual disturbances, insomnia, diarrhea

Dose/Indication

  • ED (Viagra): 25-100 mg PO 1H prior to intercourse
  • Pulm HTN (Revatio): 20 mg PO TID

DDI

  • Caution w/ alpha blockers
  • CYP3A4 substrate
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2
Q

Adcirca
Cialis

  • MOA
  • Indication/Dose
  • DDI
A

Tadalafil

  • MOA/SEs: similar to sildenafil

Indication/Dose

  • ED: 10mg 30min prior to intercourse. Work up to 36H
  • BPH: 5mg PO QD
  • Pulm HTN: 40mg PO QD

DDI:

  • Avoid nitrate. Give 48H after last dose
  • Caution with alpha-blocker: hypoTN
  • 3A4 substrate
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3
Q

Levitra

  • MOA/SEs
  • Indication
  • Dose
  • DDI
  • Other SEs
A

Vardenafil

  • MOA/SEs: similar to viagra
  • Indication: ED
  • Dose: 10mg 1H prior to intercourse

DDI

  • Ritonavir
  • Alpha-blocker
  • CI with nitrates for 72H

Other SEs

  • Sudden hearing loss
  • Sz
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4
Q

Stendra

  • MOA/SEs
  • Dose
  • DDI
A

Avanafil

  • MOA/SEs: similar viagra
  • Dose: 50-200mg ~30 prior to intercourse

DDI:

  • CYP3A4 inhibitor
  • Alpha blocker
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5
Q

MUSE

  • MOA
  • How to administer
  • Storage
A

Alprostadil

  • MOA: widening blood vessels, inc blood flow to the penis and help cause an erection
  • MUSE = transurthral therapy. Small pellet that is inserted into the urethra with an applicator. When press the button on the applicator, u release the pellet. It absorbed and an erection develops in ~10 min and last ~30min. Do not use more than 2x in 24H.
  • Store in fridge
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6
Q

Staxyn

  • Form
A

Vardenafil

  • Form: ODT 10mg
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7
Q

Caverject

A

Alprostadil

  • Caverject: Inject into the spongy tissue to the penus (corpus cavernosum). Not to be used more than 3x/wk.
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8
Q

Caverject impulse

  • Storage
A

Alprostadil

  • Store: unreconstituted at RT
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9
Q

Caverject sterile powder

  • Storage
A

Alprostadil

  • Store: fridge
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10
Q

Caverject solution

  • Storage
A

Alprostadil

  • Store in FREEZER
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