Sung Hyun Hwan, Lee Sung Won
Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean J Urol. 2012 Jun;53(6):377-85. doi: 10.4111/kju.2012.53.6.377. Epub 2012 Jun 19.
Oral phosphodiesterase type 5 (PDE5) inhibitors have provided non-invasive, effective, and well-tolerated treatments for patients with erectile dysfunction (ED). However, many patients with ED are unresponsive to 'on-demand' PDE5 inhibitors. In addition, the lack of spontaneity and naturalness of the on-demand regimen could be a reason for decreased compliance with PDE5 inhibitors. Recently, tadalafil and udenafil were approved for low-dose daily administration for the treatment of ED. Since the introduction of the concept of daily administration of PDE5 inhibitors, several reports have supported the potential benefits of this therapy for disease modification, improvement of the treatment response in difficult-to-treat populations, spontaneity, and safety, although further research is needed to better address these hypotheses. In this article, we reviewed the daily administration of PDE5 inhibitors in terms of pharmacokinetics, safety, efficacy, and distinct features.
口服5型磷酸二酯酶(PDE5)抑制剂为勃起功能障碍(ED)患者提供了非侵入性、有效且耐受性良好的治疗方法。然而,许多ED患者对“按需服用”的PDE5抑制剂无反应。此外,按需治疗方案缺乏自发性和自然性可能是导致PDE5抑制剂依从性降低的一个原因。最近,他达拉非和伐地那非被批准用于低剂量每日给药治疗ED。自从引入PDE5抑制剂每日给药的概念以来,尽管需要进一步研究以更好地验证这些假设,但已有几份报告支持了这种治疗方法在疾病改善、改善难治性人群的治疗反应、自发性和安全性方面的潜在益处。在本文中,我们从药代动力学、安全性、疗效和独特特征方面对PDE5抑制剂的每日给药进行了综述。