Sexual Dysfunction Flashcards
main drug for women with sexual dysfunction
addyi
What are common drug classes that causes sexual dysfunction
antidepressants antihypertensives antipsychotics BPH medications alcohol
which antidepressant is least likely to cause sexual dysfunction
bupropion
natural products for ED
yohimbe
L-arginine
panax ginseng
Tadalafil use besides ED
benign prostatic hypertrophy
Sildenafil use besides ED
pulmonary arterial hypertension
PDE-5 inhibitors MOA
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
contraindication for PDE-5i
use with nitrates
starting dose for viagra
50mg
starting dose for cialis
10mg
starting dose for levitra
10 mg
starting dose for stendra
100 mg
when to reduce dose of a PDE-5i
> 65 years
using alpha-blocker
severe renal or liver disease
-starting dose decrease by 50%
Alprostadil MOA
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
Flibanserin MOA
agonist activity at 5-HT1A and antagonist activity at 5-HT2A receptors