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Gisadenafil is a phosphodiesterase type 5 (PDE5) inhibitor developed for the treatment of erectile dysfunction. It is structurally and mechanistically related to sildenafil, vardenafil, and tadalafil, acting by inhibiting the enzyme PDE5 to increase levels of cyclic guanosine monophosphate (cGMP), resulting in smooth muscle relaxation and increased blood flow in the corpus cavernosum. This mechanism facilitates penile erection during sexual stimulation. Gisadenafil has been investigated as an oral small molecule therapy for male erectile dysfunction.
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