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Abstract

Our goal was to evaluate the effects of sildenafil citrate on the physiological function of human male erectile function in order to determine if it is more effective in men with erectile dysfunction (ED). In order to achieve this goal, we conducted a two-way crossover study of sildenafil citrate, which is known as Viagra, in men with ED. We tested the effect of sildenafil citrate on the erectile function of the corpus cavernosum of male rats with ED. Sildenafil citrate significantly improved erectile function in male rats when administered to a model of erectile dysfunction (ED) when compared to vehicle, in addition to improving erectile function in the corpus cavernosum. These results support the concept of a novel mechanism of action of sildenafil citrate in ED.

Citation:Lundell J, Shamsman D (2013) Efficacy of sildenafil citrate on the physiological function of male erectile function in rats. PLoS ONE 8(6): e002586. https://doi.org/10.1371/journal.pone.002586

Editor:Olivier Légaré, University of Marseille

Received:July 9, 2012;Accepted:August 17, 2012;Published:September 12, 2012

Copyright:© 2012 Lundell et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Data Availability:All relevant data are within the paper and its Supporting Information files.

Funding:This work was supported by the University of Marseille Research Programme (MRP and GIP), grant agreement number DE-2201-ideal-G. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Competing interests:The authors have declared that no competing interests exist.

Introduction

The use of drugs has long been of interest as a potential treatment for erectile dysfunction (ED) []. However, in some countries such as the United Kingdom and France, there is a lack of evidence regarding the efficacy of sildenafil citrate on the erectile function of men with ED []. In particular, recent research suggests that sildenafil citrate may be effective in men with ED []. It has been shown that sildenafil citrate has a low negative impact on erectile function in men with ED compared to placebo [, ]. This is because sildenafil citrate does not act directly on phosphodiesterase (PDE) inhibitors, which are present in the erectile tissue and can have an effect on the PDE inhibitor enzyme, phosphodiesterase type 5 (PDE-5) [] and, consequently, on other phosphodiesterase-5 (PDE-5) related enzymes, such as cyclic guanosine monophosphate (cGMP) and cyclic guanosine monophosphate (cGMP-cGMP) [, ]. There are no available studies in humans to compare sildenafil citrate with nitroglycerin. This study was conducted to determine the effects of sildenafil citrate on the physiological function of male erectile function in rats.

Sildenafil citrate is a phosphodiesterase inhibitor used for the treatment of erectile dysfunction (ED) in men. In this study, we tested the effects of sildenafil citrate on the physiological function of male rats with ED. We assessed the effects of sildenafil citrate on the physiological function of the corpus cavernosum of male rats with ED.

Material and Methods

Animals

Rats were obtained from the University of Marseille and housed in the Department of Rats breeding-house. Male rats (30-40 g) received a single 100 mg/kg of sildenafil citrate intraperitoneally (i.p.) daily for 3 weeks. The protocol was approved by the Animal Care and Use Committee of the University of Marseille (A-13/061/0006) and the National Ethics Committee (Protocol No.

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Viagra (sildenafil) is used to treat erectile dysfunction. Erectile dysfunction is the inability to get or keep an erection for satisfactory sexual activity in men, also known as impotence. Sildenafil belongs to a class of medications called phosphodiesterase type5 (PDE5) inhibitors. Viagra works by relaxing muscles found in the walls of blood vessels and increasing blood flow to the penis during sexual stimulation to get and keep an erection. Keep in mind that Viagra does not cure erectile dysfunction or increase sexual desire.

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MedicationOnsetDuration
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Viagra is taken with a well-balanced, low-fat, low-sodium diet and is found in both the blood and theDEA class of medications. It is an that contains sildenafil. The class of medications includes both prescription and nonprescription medications. The dose of Viagra varies with the severity of edema (swelling) in patients with severeas well as patients with PAH. Viagra 100mg are available. Take this medicine about 20 minutes before sexual activity. Viagra can start with a low dose and may slightly increase the time it takes to get over the edge of overdose. Do not take Viagra more than once a day is not recommended.

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Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

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As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

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As with all prescription medications, inform your doctor if you are pregnant, plan to become pregnant, or if you are breastfeeding. As with all prescription medications, inform your doctor if you are pregnant, plan to breastfeed, or if you are breastfeeding. The U. S. Food and Drug Administration (FDA) has not approved, endorse, or sold you personally endorsed by Pharmac Priority for this product.

In addition, let your doctor know if you are, or are in, or are considering developing a rapid heartbeat or chest pain, as Viagra can interact with the heartbeat, causing potentially serious adverse reactions.

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Viagra may raise DPP-Improved Dihydrotestosterone (DEX) levels in some men. DEX is a hormone that your body uses to improve the amount of time it takes to get and maintain an erection. Viagra may also affect the results of prostate-specific antigen (PSA) tests performed on healthy volunteers.

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Viagra is a popular medication used to treat erectile dysfunction (ED) in men. Sildenafil, the active ingredient in Viagra, works by increasing blood flow to the penis, resulting in improved erectile function. Tadalafil, the active ingredient in Viagra, works by relaxing the blood vessels in the penis, allowing for increased blood flow and resulting in improved erectile function. Each tablet of Viagra contains 100mg of sildenafil citrate, a medication that works to treat ED.

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How long does it last?

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