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Phosphodiesterase-Inhibitors by Aseem
1.
PHOSPHODIESTERASE INHIBITORS
2.
Introduction • Isolated by
UZONOV & WEISS in 1972 from Rat Brain • Therapeutic Action documented in 1977 • Inhibits Platelet Aggregation by promoting hydrolysis and degradation of cAMP and / or cGMP and release of Protein Kinase A
3.
Subtypes Non-Selective CAFFEINE/THEOBROMINE/METHYLXANTHINES AMINOPHYLLINE / THEOPHYLLINE
(BDs) PENTOXYFILLINE (Circulation enhancer DM / PVD) PDE-1 Inhibitors VINPOCETINE (Nootropic)
4.
Subtypes PDE-2 I Erythro Hydroxy
Nonyl Adenine (EHNA) (Investigtive for CCF) PDE-3 I MILRINONE (Inotrope – CCF) CILOSTAZOL (Arterial VD – Intermittent Claudication)
5.
Subtypes PDE-4 I MESEMBRINE (SRI) ROFLUMILAST
(COPD Exacerbations – FDA) DROTAVERINE (Anti-spasmodic / Tocolytic) Anti-inflamm / Anti-depressant
6.
Subtypes PDE-5 I (ED
– degradation of cGMP in CC) SILDENAFIL (VIAGRA) TADALAFIL (CIALIS) VARDENAFIL (LEVITRA)UDENAFIL AVANAFIL PAH BPH / PAH t1/2 PE tmax
7.
Subtypes PDE-10 I PAPAVERINE (Papaver
Somniferum) Gastro-Intestinal Vasodilator ED (Intracavernosal) Coronary Vasodilator
8.
THANK YOU
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