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Interaction between the phosphodiesterase 5 inhibitor, tadalafil and 2 alpha-blockers, doxazosin and tamsulosin in healthy normo

Authors: Robert A Kloner|||Graham Jackson|||Jeffrey T Emmick|||Malcolm I Mitchell|||Alun Bedding|||Margaret R Warner|||Alvaro Pereira

Journal: The Journal of urology

Publication Type: Clinical Trial

Date: 2004

DOI: 10.1097/01.ju.0000142687.75577.e4

ID: 15540759

Affiliations:

Affiliations

    The Heart Institute, Good Samaritan Hospital, Division of Cardiovascular Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California 90017, USA. rkloner@goodsam.org||||||||||||||||||

Abstract

Tadalafil, a phosphodiesterase type 5 inhibitor, is effective therapy for erectile dysfunction (ED). Men with ED have a high incidence of comorbid conditions including cardiovascular disease, diabetes mellitus and benign prostatic hyperplasia. Although phosphodiesterase type 5 inhibitors are safe when administered with most medications, sildenafil given with doxazosin and vardenafil given with terazosin evoke orthostatic hypotension in some patients. We examined the hemodynamic interactions of tadalafil with the alpha-blockers doxazosin and tamsulosin.


Chemical List

    Adrenergic alpha-Antagonists|||Carbolines|||Sulfonamides|||Tadalafil|||Phosphoric Diester Hydrolases|||3',5'-Cyclic-GMP Phosphodiesterases|||Cyclic Nucleotide Phosphodiesterases, Type 5|||PDE5A protein, human|||Tamsulosin|||Doxazosin