Abstract
The authors performed a double-blind, placebo-controlled study in 28 patients to evaluate the effects of sildenafil on cerebral hemodynamics. A significant improvement of cerebrovascular reactivity, without any modification of other variables, was recorded 1 hour after the administration of 50 mg sildenafil. Further investigations are needed to evaluate whether cerebrovascular reactivity improvement could contribute to triggering sildenafil-induced migraine.
Publication types
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Randomized Controlled Trial
MeSH terms
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Aged
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Brain Ischemia / chemically induced
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Brain Ischemia / physiopathology
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Cerebral Arteries / diagnostic imaging
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Cerebral Arteries / drug effects*
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Cerebral Arteries / physiology
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Cerebrovascular Circulation / drug effects*
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Cerebrovascular Circulation / physiology
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Dose-Response Relationship, Drug
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Double-Blind Method
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Endothelial Cells / drug effects
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Endothelial Cells / metabolism
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Humans
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Male
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Middle Aged
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Migraine Disorders / chemically induced
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Migraine Disorders / physiopathology
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Phosphodiesterase Inhibitors / administration & dosage
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Phosphodiesterase Inhibitors / adverse effects*
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Piperazines / administration & dosage
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Piperazines / adverse effects*
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Placebos
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Purines
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Sildenafil Citrate
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Sulfones
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Time Factors
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Ultrasonography, Doppler, Transcranial
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Vasodilation / drug effects
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Vasodilation / physiology
Substances
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Phosphodiesterase Inhibitors
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Piperazines
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Placebos
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Purines
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Sulfones
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Sildenafil Citrate