Sexual Dysfunction Flashcards

1
Q

main drug for women with sexual dysfunction

A

addyi

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2
Q

What are common drug classes that causes sexual dysfunction

A
antidepressants
antihypertensives
antipsychotics
BPH medications
alcohol
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3
Q

which antidepressant is least likely to cause sexual dysfunction

A

bupropion

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4
Q

natural products for ED

A

yohimbe
L-arginine
panax ginseng

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5
Q

Tadalafil use besides ED

A

benign prostatic hypertrophy

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6
Q

Sildenafil use besides ED

A

pulmonary arterial hypertension

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7
Q

PDE-5 inhibitors MOA

A

following sexual stimulation there is a local release of nitric oxide which increases cGMP and causes smooth muscle relaxation. this permits blood to flow in resulting in an erection. PDE-5 inhibitors block PDE-5 from degrading cGMP

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8
Q

contraindication for PDE-5i

A

use with nitrates

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9
Q

starting dose for viagra

A

50mg

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10
Q

starting dose for cialis

A

10mg

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11
Q

starting dose for levitra

A

10 mg

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12
Q

starting dose for stendra

A

100 mg

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13
Q

when to reduce dose of a PDE-5i

A

> 65 years
using alpha-blocker
severe renal or liver disease
-starting dose decrease by 50%

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14
Q

Alprostadil MOA

A

it is a prostaglandin E1, a vasodilator that allows blood to flow into the cavernosal arteries, which then enlarges teh penis. it is either injected into the penis or a pellet is inserted through the urethra

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15
Q

Flibanserin MOA

A

agonist activity at 5-HT1A and antagonist activity at 5-HT2A receptors

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