Healthy
Conditions
Brief summary
Aim of the study is to assess the interaction between sildenafil and fluvoxamine and its effect on the venous response to sodium nitroprusside.
Detailed description
In a randomised, double-blind, placebo-controlled, cross-over study in healthy men we will assess the effect of oral fluvoxamine (50mg qd on day 1-3; 100mg qd on day 4-10) on sildenafil kinetics (single oral 50mg dose on day 11). Sildenafil plasma concentrations will be determined by LC/MS. We will also assess the effect of sildenafil on venodilation induced by a constant dose-rate of the NO-donor sodium nitroprusside (SNP) during preconstriction with phenylephrine (dorsal hand vein compliance technique).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy, male individuals, age: 18-45. * Able and willing to give written informed consent
Exclusion criteria
* Hypotension ( 65 mmHg diastolic and 100 mmHg systolic blood pressure) * Bleeding disorders in medical history * Intake of medication impairing platelet function or influencing coagulation (for example aspirin, NSAID and others) during the preceding 4 weeks * Known condition causing endothelial dysfunction (e.g. diabetes, hyperlipidaemia, arterial hypertension, hyperhomocysteinaemia, smoking) * Anatomic deformity of the penis like angulation, penile fibromatosis (peyronie's disease) or diseases favouring priapism (e.g. leukaemia, plasmocytoma, sickle-cell anaemia) * Regular medication and/or treatment with drugs within the preceding 4-6 weeks (exclusion has to be decided in each case) * alcohol (\>30 g/d) or drug abuse * Acute or chronic illness * Blood donation within the preceding 2 months * Participation in clinical trial within 2 month before the study * Drug and/or alcohol abuse.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Drug-induced changes of hand vein compliance | — |
| Drug-induced changes of pharmacokinetic parameters | — |
Countries
Germany