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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

4.9773 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.

Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE!

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Transcript

Click on a timestamp to play from that location

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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