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Drilldown: Medicines

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Medicines > classes : PDE5 Inhibitor or Tryptamine

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generic:
4-AcO-DET (1) · 4-AcO-DiPT (1) · 4-AcO-DMT (1) · 4-AcO-MET (1) · 4-AcO-MiPT (1) · 4-HO-DET (1) · 4-HO-DiPT (1) · 4-HO-DPT (1) · 4-HO-EPT (1) · 4-HO-MET (1) · 4-HO-MiPT (1) · 5,6-MDO-DMT (1) · 5-MeO-DALT (1) · 5-MeO-DiPT (1) · 5-MeO-DMT (1) · 5-MeO-MiPT (1) · aMT (1) · Avanafil (1) · Baeocystin (1) · Bufotenin (1) · DET (1) · DiPT (1) · DPT (1) · EPT (1) · MET (1) · MiPT (1) · Psilocin (1) · Sildenafil (1) · Tadalafil (1) · Vardenafil (1)
brand:
None (26) · Cialis, Adcirca (1) · Levitra, Staxyn (1) · Stendra (1) · Viagra, Revatio (1)
classes: (Click arrow to add another value)
mechanism:
5-HT2A agonist (15) · 5-HT2A agonist; 5-HT3 antagonist (1) · 5-HT2A agonist; minor psilocybin mushroom alkaloid (1) · 5-HT2A agonist; primarily auditory effects (1) · 5-HT2A agonist; sigma-1 agonist (1) · Monoamine releasing agent; 5-HT2A agonist; MAO inhibitor (1) · Potent 5-HT2A agonist; sigma-1 agonist (1) · Prodrug of 4-HO-DET; 5-HT2A agonist (1) · Prodrug of 4-HO-DiPT; 5-HT2A agonist (1) · Prodrug of 4-HO-MET; 5-HT2A agonist (1) · Prodrug of 4-HO-MiPT; 5-HT2A agonist (1) · Prodrug of psilocin; 5-HT2A agonist (1) · Selective inhibitor of PDE5 with a substantially longer half-life than other PDE5 inhibitors, allowing once-daily continuous dosing. (1) · Selective inhibitor of PDE5. Slightly higher PDE5/PDE6 selectivity vs sildenafil (less visual side effect) but more PDE1 cross-activity (occasional QT effects at high doses). (1) · Selective inhibitor of phosphodiesterase type 5 (PDE5), preventing cGMP breakdown in vascular smooth muscle. In the corpus cavernosum, potentiates the NO/cGMP cascade triggered by sexual stimulation. (1) · Selective inhibitor of phosphodiesterase type 5 (PDE5); increases cGMP in cavernous smooth muscle, producing erection in response to sexual stimulation. (1)
uses:
None (26) · '"`UNIQ--vote-00000040-QINU`"' (1) · '"`UNIQ--vote-00000669-QINU`"' (1) · '"`UNIQ--vote-00000705-QINU`"', '"`UNIQ--vote-00000706-QINU`"' (1) · '"`UNIQ--vote-00000738-QINU`"', '"`UNIQ--vote-00000739-QINU`"', '"`UNIQ--vote-0000073A-QINU`"' (1)
starting dose:
None (26) · 10 mg PRN; 2.5–5 mg daily for continuous coverage / BPH (1) · 10 mg ~1 h before sexual activity (1) · 100 mg ~15 min before sexual activity (1) · 50 mg ~1 h before sexual activity (ED); 20 mg TID (PAH) (1)
preparations:
None (26) · 2.5, 5, 10, 20 mg tabs (1) · 2.5, 5, 10, 20 mg tabs (Levitra); 10 mg ODT (Staxyn) (1) · 25, 50, 100 mg tabs (Viagra); 20 mg tabs and 10 mg/mL oral suspension (Revatio) (1) · 50, 100, 200 mg tabs (1)
fda max:
None (26) · 100 mg/d (ED); 20 mg TID (PAH) (1) · 20 mg/d (1) · 20 mg/d (ED, PRN); 5 mg/d (daily / BPH); 40 mg/d (PAH) (1) · 200 mg/d (100 mg/d if on CYP3A4 inhibitors) (1)
routes:
None (26) · IV (Revatio) (1) · Oral (4)
onset:
None (26) · 30 min (1) · 30–60 min (1) · ~15 min (fastest of the PDE5 inhibitors) (1) · ~30 min (1)
duration:
None (26) · 4–5 h (1) · 4–6 h (1) · Up to 36 h ("the weekend pill") (1) · ~4 h (1)
halflife:
None (26) · 4–5 h (1) · ~17.5 h (1) · ~4 h (1) · ~5 h (1)
bioavailability:
None (26) · Rapid absorption; absolute bioavailability not formally established (1) · Reasonable (not formally established as a percentage) (1) · ~15% (extensive hepatic first-pass) (1) · ~40% (1)
pregnancy:
None (26) · Category B (3) · Category C (not relevant; not used in women) (1)
legal:
None (26) · Rx-only in US (4)

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