Orally active, selective type 5 cGMP phosphodiesterase inhibitor. Prepn: A. S. Bell et al., EP 463756; eidem, US 5250534 (1992, 1993 both to Pfizer). Structure-activity study: N. K. Terrett et al., Bioorg. Med. Chem. Lett. 6, 1819 (1996). Clinical trial in impotence: I. Goldstein et al., N. Engl. J. Med. 338, 1397 (1998). Review of pharmacology: M. Boolell et al., Int. J. Impot. Res. 8, 47-52 (1996); of clinical experience: D. G. Hatzichristou, ibid. 14, Suppl. 1, S43-S52 (2002). Clinical evaluation in pulmonary hypertension: B. K. S. Sastry et al., J. Am. Coll. Cardiol. 43, 1149 (2004).
In treatment of male erectile dysfunction. Antihypertensive.
Phosphodiesterase Inhibitor; Impotence Therapy; Antihypertensive