Viagra Research - Sildenafil, Erectile Dysfunction, Impotence, Side-effects, Alternatives

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Comprehensive identification of active compounds in tablets by flow-injection data-dependent tandem mass spectrometry combined with library search.

Pavlic M, Schubert B, Libiseller K, Oberacher H

Institute of Legal Medicine, Innsbruck Medical University, Muellerstrasse 44, 6020 Innsbruck, Austria.

A convenient mass spectrometric approach for the identification of toxicologically relevant compounds in tablets and tablet residues is presented. For comprehensive forensic-toxicological analysis electrospray ionization mass spectrometry was accomplished in positive as well as in negative ion mode on a quadrupole-quadrupole-time-of-flight instrument. Dissolved samples were introduced into the mass spectrometer by flow-injection. Mass spectra as well as tandem mass spectra were acquired. A data-dependent acquisition strategy was used to switch between the mass spectrometric modes. Identification was accomplished via search within a tandem mass spectral library. The applied database contained 8252 spectra collected from 836 compounds in positive ion mode as well as 1023 spectra collected from 103 compounds in negative ion mode. A total of 22 casework samples collected during autopsies from mouth, oesophagus or gastric contents, seized by the police, or found with patients at hospital were screened. Twelve samples contained compounds only detectable in positive ion mode (sildenafil, dihydrocodeine, diphenhydramine, oxprenolol, N-methyl-3,4-methylenedioxyamphetamine, morphine, amphetamine, caffeine, pemoline, orphenadrine, m-chlorphenylpiperazine and tramadol), six samples contained species exclusively detectable in negative ion mode (salicylic acid, acetylsalicylic acid, ibuprofen, ketorolac, valproic acid and phenobarbital), and three samples contained diclofenac detectable in both ionization polarities. One sample did not contain any compound amenable to mass spectrometric analysis. For verification all samples were additionally analyzed by GC/MS. Both methods revealed identical results for all but one sample. The beta-adrenergic blocker oxprenolol was exclusively detected by the flow-injection method.

Published 25 January 2010 in Forensic Sci Int.
Full-text of this article is available online (may require subscription).


Articles on Viagra published 22 January 2010:

How does chronic sildenafil prevent vascular oxidative stress in insulin-resistant rats?   J Sex Med, 7(1): 79-88.

ABSTRACT Introduction. Insulin resistance features both endothelial dysfunction and increased oxidative stress. Both disorders are targeted by a chronic treatment with sildenafil. However, the mechanism of action by which chronic sildenafil exerts its effects on reactive oxygen species sources is still largely unknown. Aim. We therefore investigated how chronic sildenafil administration could impact vascular endothelial NO and superoxide release in a rat model of insulin resistance induced by ... [Abstract] [Full-text]

Natural aphrodisiacs.   J Sex Med, 7(1): 39-49.

ABSTRACT Introduction. The search for a remedy or a prescription that can enhance sexual function and/or treat male erectile dysfunction has been an obsession throughout known history. Whether it was an Eastern civilization or a Western one, religious or atheist, man's aspiration for a better or best "manhood" has been a history-time goal. Aim. This review will discuss the current research done on the most popular natural aphrodisiacs and examine the weight of evidence to support or ... [Abstract] [Full-text]

Treatment of Erectile Dysfunction Due to C677T Mutation of the MTHFR Gene with Vitamin B6 and Folic acid in Patients Non Responders to PDE5i.   J Sex Med, 7(1): 216-23.

ABSTRACT Introduction. Epidemiological studies conducted on erectile dysfunction (ED) have demonstrated its close correlation with cardiovascular disease. Since hyperhomocysteinemia is considered an important cardiovascular risk factor, it could also be involved in the pathogenesis of ED. Aim. To study the role of the C677T MTHFR mutation with subsequent hyperhomocysteinemia in the determination of ED. Methods. We studied 75 consecutive patients presenting with ED. Patients were interviewed ... [Abstract] [Full-text]

Reduced NO-cGMP Signaling Contributes to Vascular Inflammation and Insulin Resistance Induced by High-Fat Feeding.   Arterioscler Thromb Vasc Biol.

OBJECTIVE: Diet-induced obesity (DIO) in mice causes vascular inflammation and insulin resistance that are accompanied by decreased endothelial-derived NO production. We sought to determine whether reduced NO-cGMP signaling contributes to the deleterious effects of DIO on the vasculature and, if so, whether these effects can be blocked by increased vascular NO-cGMP signaling. METHODS AND RESULTS: By using an established endothelial cell culture model of insulin resistance, exposure to ... [Abstract] [Full-text]

Cigarette smoke-induced pulmonary endothelial dysfunction is partially suppressed by sildenafil.   Eur J Pharm Sci.

Cigarette smoke mediated oxidative stress and endothelial dysfunction are important processes in the pathogenesis of several lung disorders. In this study we evaluated the effect of PDE5 inhibition on pulmonary artery endothelial dysfunction induced by cigarette smoke in vitro. Human pulmonary artery endothelial cells (HPAEC) were incubated in the absence or presence of PDE5 inhibitor sildenafil (10nM-1muM), PKG agonist 8-Br-cGMP (1mM), or the antioxidants dyphenyleneiodonium (DPI 1muM) and ... [Abstract] [Full-text]

Pulmonary hypertension in lung diseases: Survey of beliefs and practice patterns.   Respir Med.

INTRODUCTION: Pulmonary hypertension can be associated with decreased functional capacity and poor prognosis in patients with parenchymal lung diseases (PLD). Yet, little attention has been given to current beliefs and practice patterns. METHODS: An 18-question survey was submitted electronically to members of four Networks of the American College of Chest Physicians. RESULTS: Analyzable responses were received from 453 physicians. Most (95%) respondents reported testing for PH in patients with ... [Abstract] [Full-text]

Pharmacotherapy for erectile dysfunction.   J Sex Med, 7(1): 524-40.

INTRODUCTION: Pharmacotherapy is the usual initial therapy for most men with erectile dysfunction. AIM: To review the current data relating to the efficacy, tolerability and safety of drugs used in the treatment of men with erectile dysfunction. METHODS: A critical review of the literature relating to the use of pharmacotherapeutic agents was undertaken by a committee of eight experts from five countries, building on prior reviews. MAIN OUTCOME MEASURES: Expert opinion and recommendations were ... [Abstract] [Full-text]

Sildenafil and glyceryl trinitrate reduce tactile allodynia in streptozotocin-injected rats.   Eur J Pharmacol.

The possible antiallodynic effect of phosphodiesterease 5 inhibitor sildenafil and nitric oxide donor glyceryl trinitrate as well as the changes in phosphodiesterease 5A2 mRNA expression in dorsal root ganglion and spinal cord of allodynic diabetic rats was assessed. Diabetes was induced by streptozotocin (50mg/kg, i.p.) in male Wistar rats. Streptozotocin injection produced hyperlglycemia, polydipsia, polyphagia and plolyuria as well as long-term tactile allodynia (12weeks) and a reduction of ... [Abstract] [Full-text]


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