What type of drug is Sildenafil and what is its primary use?

Study for the UWorld Pharmacology Test. Use flashcards and multiple choice questions, each with hints and explanations. Get ready for your exam!

Sildenafil is classified as a phosphodiesterase type 5 (PDE5) inhibitor, and its primary use is for the treatment of erectile dysfunction. The mechanism by which sildenafil operates involves the inhibition of PDE5, an enzyme that regulates blood flow in the penis. By inhibiting this enzyme, sildenafil promotes increased levels of cyclic guanosine monophosphate (cGMP), leading to enhanced vasodilation and improved blood flow to the erectile tissue when sexual stimulation occurs.

This mechanism is specifically beneficial for individuals who experience difficulty achieving or maintaining an erection, allowing them to have a satisfactory sexual experience. Additionally, sildenafil is also used in the treatment of pulmonary arterial hypertension (PAH) due to its vasodilatory effects on the pulmonary vasculature, but its primary recognition and most common use is for erectile dysfunction.

The other choices mention drug classes and uses that do not align with sildenafil's pharmacological profile or therapeutic application. For example, ACE inhibitors are primarily used for hypertension and heart failure, while calcium channel blockers are used for managing arrhythmias and hypertension. Anticoagulants serve to prevent blood clots and are unrelated to erectile dysfunction treatments. Thus, the classification of sildenafil as a PDE5 inhibitor focused on its role in

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