erectile dysfunction

Question 1

contraindications for sildenafil, PDE-5 inhibitors

Answer 1

on nitrates
medications - ritonavir, ketoconazole, itraconazole
pulmonary arterial hypertension secondary to sickle cell disease

Question 2

erectile dysfunction - PDE5 inhibitor dosages

• intermittent (4)
• daily (1)

Answer 2

intermittent
avanafil 100mg 15-30mins before sex
vardenafil 10mg, 30-60 mins before sex
sildenafil - 50mg orally, 1/24 before sex, titrate 25-100mg
tadalafil - 10mg OD, 2hrs or later before sex

daily
tadalafil 2.5-5mg OD

Question 3

erectile dysfunction - management options for patients on nitrate

Answer 3

intracavernosal alprostadil

vacuum erection device

Question 4

management of priapism

• less than 2 hours
• 4 hours
• 6 hours

Answer 4

2 hours, 4 hours
- pseudoephedrine 120mg IR PO OD
- take a hot shower
6 hours
- ED for corpora cavernosa aspiratin + drainage

Question 5

management of premature ejaculation

• topical
• oral

Answer 5

lidocaine + prilocaine 2.5/2.5, 20 minutes before intercourse
sertraline 50mg, 3-5 hours before intercourse