Sildenafil specifically targets PDE5, predominantly found in penile tissue, minimizing effects on other PDE enzymes in the body. Filagra 100mg works only when sexually stimulated. Sexual arousal triggers the release of nitric oxide (NO) in the erectile tissue of the penis. NO boosts cGMP production, enhancing blood flow and causing an erection.
Initial Phase: Sexual Stimulation and Nitric Oxide Release
Sexual arousal triggers the release of nitric oxide (NO) from the nerve endings and endothelial cells in the penile tissue. Nitric oxide acts as a signaling molecule to kick off a cascade of reactions that prepare the blood vessels to increase blood flow.
Activation of cGMP
Nitric oxide stimulates the enzyme Guanylate Cyclase, which converts guanosine triphosphate (GTP) into cyclic guanosine monophosphate (cGMP). CGMP is the primary mediator responsible for relaxing the smooth muscle cells in the corpus cavernosum, the spongy erectile tissue of the penis.
Smooth Muscle Relaxation and Vasodilation
Elevated cGMP levels lead to smooth muscle relaxation in the walls of the blood vessels within the penis. This relaxation causes the dilation of blood vessels, allowing a larger volume of blood to flow into the corpus cavernosum. The inflow of blood results in the penis becoming engorged, leading to an erection.
Role of PDE5 Enzyme and Sildenafil’s Action
Under normal conditions, the enzyme phosphodiesterase type 5 (PDE5) breaks down cGMP, hindering the erection process. Sildenafil Citrate in Filagra 100mg inhibits the action of PDE5, preventing the degradation of cGMP. By maintaining higher levels of cGMP, Sildenafil prolongs the relaxation of smooth muscles and sustains the blood flow necessary for an erection.
Sustained Erection and Detumescence
As long as sexual stimulation continues, the nitric oxide pathway keeps producing cGMP, which is protected from degradation by Sildenafil. Once stimulation ends or after ejaculation, cGMP levels naturally decrease, and the penis returns to its flaccid state (detumescence).
Pharmacokinetics
- Absorption: After oral administration, the body absorbs Sildenafil rapidly into the bloodstream, with maximum plasma concentrations reached within 30-120 minutes.
- Metabolism: The enzyme CYP3A4 in the liver metabolizes the medication.
- Excretion: The body excretes the metabolites through feces and, to a lesser extent, urine