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One approach is the use of sildenafil (Watkins et al., 2000), a phosphodiesterase-5 inhibitor which mimics the effect of nitric oxide by increasing intracellular cGMP

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Bioorganic & Medicinal Chemistry, 26 (10), 27002707

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These patients are candidates for oral formulations when available, but they represent fewer than 10% of the treatment population

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