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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Tadalafil (Cialis) Pharmacology Podcast

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 24 November 2022

⏱️ 14 minutes

🧾️ Download transcript

Summary

On this episode, I discuss tadalafil pharmacology, adverse effects, pharmacokinetics, and drug interactions.



Tadalafil has a significantly longer half-life than sildenafil. I discuss how this is going to impact a patient that may need a nitrate.



PDE-5 inhibitors like tadalafil are most commonly used for erectile dysfunction but I talk about other unique indications in the podcast.



Daily use or as-needed use of tadalafil are both acceptable options but there are some quirks you need to know with these two methods of use.

Transcript

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0:00.0

Hey all, welcome back to the Real Life Pharmacology podcast. I'm your host, pharmacist Eric Christensen.

0:06.4

Thank you so much for listening today. Go check out real life pharmacology.com. Get your free top 200 study guide.

0:14.7

It's a 31 page PDF. Simply an email is all it's going to take for you to get that free resource.

0:20.6

So if you're a pharmacy student, nursing student, PA student, med student, definitely a no-brainer.

0:28.6

A lot of the things I put on there, stuff that are going to come up in practice,

0:32.3

as well as things that are going to likely show up on board exams throughout your career,

0:36.8

just like they did for me.

0:38.7

So go check that out, real-life pharmacology.com.

0:42.2

Again, simply an email.

0:43.4

We'll get you access to that.

0:45.8

The drug of the day today is to Dallafil.

0:48.9

Brand name is Cialis.

0:52.0

As a category, this drug falls within the PDE5 inhibitor category. It is primarily

1:01.0

going to be used for erectile dysfunction. And mechanistically, how that works. So if you remember

1:08.5

PDE5, that is phosphodiesterase 5, and the drug inhibits

1:15.0

that enzyme. So what does that enzyme do? That enzyme, PDE5, breaks down cyclic guanonosophosphateate or cyclic gmp it's often referred to as which is obviously much much easier

1:35.0

so when there's more cyclic gmp around this can help stimulate erection obviously and by using a using a PD5 inhibitor, it essentially helps keep that around.

1:49.0

It prevents that breakdown of this cyclic GMP.

1:55.0

Going back a little bit further, if you're studying physiology, pathophysiology, nitric oxide release is important

2:04.2

kind of during initial sexual arousal. That stimulates that production of cyclic gmp.

2:13.9

And then a PDE5 inhibitor will help prevent that breakdown of cyclic gmp.

2:22.1

So again, primary use, erectile dysfunction, that's what I've seen it used most for in practice.

...

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