Avanafil
Chemical compound
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Through Common cold and Vasodilation
Avanafil acts by inhibiting a specific phosphodiesterase type 5 enzyme found in various body tissues, primarily in the corpus cavernosum penis. Other similar drugs are sildenafil, tadalafil and vardenafil. The advantage of avanafil is that it has very fast onset of action compared with other PDE5 inhibitors. It is absorbed quickly, reaching a maximum serum concentration in about thirty to forty-five minutes. About two-thirds of the participants were able to engage in sexual activity within fifteen minutes.
Medical use
Avanafil is used to treat erectile dysfunction (ED).
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Adverse effects
Although avanafil is generally well tolerated, dose dependent adverse effects can occur. The most common adverse effects include headache, flushing, nasopharyngitis, nasal congestion, and back pain. While it is also uncommon, there is a potential for visual disturbances to occur in patients, as well as hearing impairment.
Mechanism of action
Avanafil inhibits phosphodiesterase-5, preventing the degradation of cGMP. The increased levels of cGMP causes vasodilation, resulting in an increased blood flow in the penis. Avanafil's mechanism of action takes place once nitric oxide is released, in association with sexual stimulation.
Synthesis
Avanafil can be synthesized from a benzylamine derivative and a pyrimidine derivative: