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Correspondence
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Volume 342:1679-1680 June 1, 2000 Number 22
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Increased Glomerular Filtration Rate in Kidney- Transplant Recipients Who Take Sildenafil

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To the Editor: Sildenafil is a potent inhibitor of guanosine 3',5'-cyclic monophosphate (cGMP)–specific phosphodiesterase.1,2 It is being used increasingly by male kidney-transplant recipients for erectile dysfunction,3,4 but its effects on the grafted kidney have not, to our knowledge, been examined.

We performed clearance studies 18 to 126 months after renal transplantation in 10 men (age range, 43 to 72 years) who were receiving azathioprine, prednisone, and cyclosporine. All 10 men had impotence according to the International Index of Erectile Function. During the studies, an iterative oral water-loading regimen (0.5 liter per hour) was used to achieve stable diuresis, and the . . . [Full Text of this Article]

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