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51 Cards in this Set

  • Front
  • Back
four types of dysfunction
arterial

venous

nerve

psychogenic
most ed due to
vascular
only bout 3% due to
testerone
t/f

stop drugs that are causing ed
f

don't stop
med hx that can lead to ed
meds

rec drug use

dm, htn, hyperlipidemia

sx

anemia, renal failure

trauma

spinal cord injury
nonpharm tx of ed
sex counseling

vacuum erection devices

penile implants
t/f

pt satisfaction of the vacuum device depends on education
t
prob w/ vacuum
bruising

requires manual dexerity
last resort to ed
penile implants

infection possible
local pharmco for ed
prostaglandin

MUSE
route for prostaglandin
supp

injection
MUSE (alprostadil) route
urethral suppository
muse onset of action
about 5-10 min
duration of muse
about 60 min
how effective is muse
about 30-60% effective
how many people experience aching
25%
what can affect muse
body position

etoh

stress affect response
problem w/ penile injection
scar tissue

prolonged erection

bruising
where's the penile injection given
base of penis

erection chamber
for ed meds who are cautioned
age 65

hepatic/renal impairment

cv risk

retinal disorders

spinal cord injury
viagra CI w/
nitrates
viagra enhance the effect of --- ---- thru inhibition of PDE5
NO
PDE5 inhibition allows
more cGMP

this is also in the eye, so watch out w/ retinal disorders
starting dose of viagra

max dose
starting: 25 mg

max dose: 100 mg
t/f

necessary to give viagra q day
f

give 1 hr before sex
w/ meds are decreased w/ fatty meals
viagra and levitra

NOT cialis
viagra can interact w/ the following meds
antidepressants

antifungals

hiv protease inhibitors

macrolide antibiotics

amiodarone

ciprofloxacin

grapefruit juice
adverse effects of viagra
flushing

ha
higher doses of viagra produce
dyspepsia

abd vision
t/f

most se of viagra are transient
t
levitra has same MOA as
sildenafil
levitra is more specific for ---
PDE5
which has a faster onset of action levitra or viagra
levitra
t/f

ok to use levitra in dm and prostatectomy pts
t
levitra is CI w/
nitrates

alpha blockers ( watch out for decreased BP)
dose of levitra
5 mg - 20 mg
t/f

levitra and viagra have the same MOA. so can use either if one doesn't work
f

ok to try levitra if viagra doesn't work
can doses for levitra and viagra be split
yes
what's viagra metabolized by
CYP 3A4, 2C9
t/f

cialis has the same MOA of sildenafil
t
t/f

cialis is less specific for PDE5
f

more specific
which has the longest duration of action
cialis
what's cialis CI w/
nitrates

alpha blockers (except flomax)
caution w/ ---- when taking cialis
etoh

no more than 6 ounces

can lead to hypotension
dose for cialis
5-20 mg prn

2.5 mg - 5 mg q day
which med do you take q day
cialis
yohimbine is an ---- blocker
a2
papaverine is a ---- --- relaxant
smooth muscle
how is papaverine taken
injected w/ alprostadil
this influcences libido
testosterone

may have little or no effect on ed
t/f

there;s risk for an mi if taking viagra, cialis, or levitra if the pt is at low risk of cv
f