Sexual Dysfunction - Quiz 3 Flashcards
What is ED?
Difficulty getting or sustaining an erection for sex
HSDD drugs are only indiated for who?
Premenopausal women only
What is an antidepressant that doesn’t cause sexual dysfunction?
Buproprion
Medications that can cause ED?
- Alcohol
- Antidepressants (SSRIs, SNRIs)
- Antihypertesives (beta-blockers, clonidine, thiazides)
- First gen antipsychotics
- Prolactin raising second gen
- BPH meds (finasteride, dutasteride, silodosin)
Non pharm tx for ED?
- Weight loss
- Quitting tobacco
- Reducing alcohol intake
Natural products for ED?
- Yohimbe
- L-arginine
- Panax ginseng (increases risk for bleeding)
What is the first line tx for ED?
PDE-5 inhibitors:
1. Slidenafil
2. Vardenafil
3. Tadalafil
4. Avanafil
Reasons for PDE5 inhibitor treatment failure?
Timing of dose
PDE5 inhibitor indicated for BPH?
Tadalafil (Cialis): 5 mg PO QD
PDE5 inhibitors that can treat PAH?
- Sildenafil (Revatio)
- Tadalafil (Adcirca, ALyq)
Describe the MOA of PDE5-I?
Inhibits the degradation of cGMP upon NO release to relax the smooth muscles in the arteries increasing blood flow maintaining an erection
Requires libido to work
Sildenafil
Revatio, Viagra
Tadalafil
Cialis, Adcirca, Alyq
Vardenafil
Levitra
Avanafil
Stendra