Injectable Medications for Erectile Dysfunction
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Questions and Answers

What is the mechanism of action of alprostadil?

  • Inhibiting phosphodiesterase
  • Increasing urethral flow
  • Widening blood vessels (correct)
  • Enhancing lower urinary tract symptoms
  • Why is papaverine no longer available in the US and Canada?

  • Increased efficacy in treating ED
  • To avoid priapism risk
  • Development of more effective PDE-5 inhibitors (correct)
  • Due to high costs
  • What is the primary drawback of using MUSE for administering alprostadil?

  • Inability to bypass LUTS (correct)
  • High cost
  • Risk of priapism
  • Limited availability in pharmacies
  • Why is caution advised when using MUSE in patients with risk factors for priapism?

    <p>Fibrosis potential after long-term use</p> Signup and view all the answers

    What percentage of patients using alprostadil successfully achieve intercourse according to studies?

    <p>65-75%</p> Signup and view all the answers

    What is the main limitation of MUSE for men with erectile dysfunction caused by diabetes or radical prostate surgery?

    <p>Limited efficacy</p> Signup and view all the answers

    What is the recommended maximum dosage of Papaverine in a 24-hour period?

    <p>60mg</p> Signup and view all the answers

    Which medication has a success rate of 55-75% and comes in dosage strengths of 10, 20, or 40 μg per dose?

    <p>Caverject</p> Signup and view all the answers

    What is the primary mechanism of action for Papaverine in treating erectile dysfunction?

    <p>Inhibition of cAMP and cGMP phosphodiesterase</p> Signup and view all the answers

    Which medication combination has been shown to produce satisfactory erections in 60-70% of patients with chronic erectile dysfunction?

    <p>Papaverine and Phentolamine</p> Signup and view all the answers

    What is a common side effect associated with Caverject usage?

    <p>Prolonged erection</p> Signup and view all the answers

    Why is Phentolamine used in combination with Papaverine for erectile dysfunction treatment?

    <p>To block receptors for erections</p> Signup and view all the answers

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