PDE5 inhibitors
- Preserve cGMP → smooth-muscle relaxation
- Erectile dysfunction; some also treat PAH
- Sildenafil shorter; tadalafil lasts ~36 h
- Headache, flushing, dyspepsia
- Tadalafil can cause back pain
- Nitrates are absolutely contraindicated
- Alpha blockers can add hypotension
Class at a glance
- Preserve cGMP → smooth-muscle relaxation
Practical pearls
- Sildenafil shorter; tadalafil lasts ~36 h
Safety / monitoring
- Tadalafil can cause back pain
- Nitrates are absolutely contraindicated
Safety distinctions
- Erectile dysfunction; some also treat PAH
- Headache, flushing, dyspepsia
- Alpha blockers can add hypotension
Self-check
- What important adverse effect is associated with Tadalafil?
back pain.
Drugs in this class (4)
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