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PHOSPHODIESTERASE
INHIBITORS
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
Subtypes
Non-Selective
CAFFEINE/THEOBROMINE/METHYLXANTHINES
AMINOPHYLLINE / THEOPHYLLINE (BDs)
PENTOXYFILLINE (Circulation enhancer DM / PVD)
PDE-1 Inhibitors

VINPOCETINE (Nootropic)
Subtypes
PDE-2 I
Erythro Hydroxy Nonyl Adenine (EHNA)
(Investigtive for CCF)
PDE-3 I
MILRINONE (Inotrope – CCF)
CILOSTAZOL (Arterial VD – Intermittent
Claudication)
Subtypes
PDE-4 I
MESEMBRINE (SRI)
ROFLUMILAST (COPD Exacerbations – FDA)
DROTAVERINE (Anti-spasmodic / Tocolytic)

Anti-inflamm / Anti-depressant
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
Subtypes
PDE-10 I
PAPAVERINE (Papaver Somniferum)
Gastro-Intestinal Vasodilator
ED (Intracavernosal)
Coronary Vasodilator
THANK YOU

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