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Tadalafil + SGLT2 inhibitors is a combination therapy being investigated for the treatment of metabolic syndrome, specifically addressing comorbid erectile dysfunction and left ventricular diastolic dysfunction. Tadalafil is a phosphodiesterase-5 (PDE5) inhibitor that promotes vasodilation by increasing cGMP levels, primarily used for erectile dysfunction. SGLT2 inhibitors (such as dapagliflozin or empagliflozin) are a class of medications that inhibit the sodium-glucose cotransporter-2 in the kidneys, reducing glucose reabsorption and providing cardiovascular benefits. This combination aims to leverage the endothelial and microvascular improvements of both agents to improve cardiac and sexual function in patients with metabolic syndrome.
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