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What do we know about sildenafil and COVID-19?

What do we know about sildenafil and COVID-19?

This article was published on
January 10, 2022

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There is currently no cure for COVID-19. Researchers are currently studying what impacts, if any, Viagra and nitric oxide have against the virus.

There is currently no cure for COVID-19. Researchers are currently studying what impacts, if any, Viagra and nitric oxide have against the virus.

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What our experts say

Viagra is a prescription medication used to treat erectile dysfunction, and it's currently being researched alongside nitric oxide to determine whether it can help the immune system's fight against COVID-19. More evidence is needed to definitively determine if the two play a potential role in COVID-19 treatment.

The main ingredient in Viagra is called sildenafil and it increases blood flow in the body by relaxing muscles cells and thus, blood vessels, causing them to widen (vasodilation).

Nitric oxide is a gas that acts as a signaling molecule and messenger. It is involved in many biological processes, like preventing blood clotting and the stimulation of digestive chemicals, including being used by the inner lining of blood vessels to signal muscles to relax.

Viagra increases the impact of nitric oxide by relaxing muscles, and potentially improving blood flow in other areas of the body like the lungs. Now, scientists are trying to determine if the impacts sildenafil and nitric oxide have on the body can help prevent and fight the virus that causes COVID-19.

Research is focused on nitric oxide's potential ability to impact blood vessels by opening them and potentially aiding in oxygen circulation in the lungs, potentially helping patients with respiratory challenges.

Others studying the gas hope that it can improve blood oxygen levels, prevent viral replication, and even help shorten the amount of time COVID-19 patients require ventilation.

Published results from current studies and clinical research should be released in the next few months and offer more information about nitric oxide and sildenafil's impact on COVID-19.

Theoretically, sildenafil may be able to widen blood vessels and improve blood flow, especially to the lungs, and get oxygen into the blood stream. It may help keep blood vessels open and flowing in infected patients, as Viagra is sometimes used off-label to treat ailments such as pulmonary hypertension, mountain sickness, Raynaud's phenomenon, and heart disease.

Importantly, it has yet to be seen if Viagra may be used off-label to treat COVID-19 in the future. The United States National Institutes of Health recommend against the routine use of nitric oxide as a treatment for COVID-19.

Viagra is a prescription medication used to treat erectile dysfunction, and it's currently being researched alongside nitric oxide to determine whether it can help the immune system's fight against COVID-19. More evidence is needed to definitively determine if the two play a potential role in COVID-19 treatment.

The main ingredient in Viagra is called sildenafil and it increases blood flow in the body by relaxing muscles cells and thus, blood vessels, causing them to widen (vasodilation).

Nitric oxide is a gas that acts as a signaling molecule and messenger. It is involved in many biological processes, like preventing blood clotting and the stimulation of digestive chemicals, including being used by the inner lining of blood vessels to signal muscles to relax.

Viagra increases the impact of nitric oxide by relaxing muscles, and potentially improving blood flow in other areas of the body like the lungs. Now, scientists are trying to determine if the impacts sildenafil and nitric oxide have on the body can help prevent and fight the virus that causes COVID-19.

Research is focused on nitric oxide's potential ability to impact blood vessels by opening them and potentially aiding in oxygen circulation in the lungs, potentially helping patients with respiratory challenges.

Others studying the gas hope that it can improve blood oxygen levels, prevent viral replication, and even help shorten the amount of time COVID-19 patients require ventilation.

Published results from current studies and clinical research should be released in the next few months and offer more information about nitric oxide and sildenafil's impact on COVID-19.

Theoretically, sildenafil may be able to widen blood vessels and improve blood flow, especially to the lungs, and get oxygen into the blood stream. It may help keep blood vessels open and flowing in infected patients, as Viagra is sometimes used off-label to treat ailments such as pulmonary hypertension, mountain sickness, Raynaud's phenomenon, and heart disease.

Importantly, it has yet to be seen if Viagra may be used off-label to treat COVID-19 in the future. The United States National Institutes of Health recommend against the routine use of nitric oxide as a treatment for COVID-19.

Context and background

An infected COVID-19 patient recently awoke from a coma after her medical treatment team allegedly administered Viagra. The patient went on the record to tout the medication as a potential treatment for the virus. Media outlets and websites have circulated the story in recent days causing it to pick up more coverage.

There is currently no cure for COVID-19. Researchers are currently studying what impacts, if any, Viagra and nitric oxide have against the virus.

An infected COVID-19 patient recently awoke from a coma after her medical treatment team allegedly administered Viagra. The patient went on the record to tout the medication as a potential treatment for the virus. Media outlets and websites have circulated the story in recent days causing it to pick up more coverage.

There is currently no cure for COVID-19. Researchers are currently studying what impacts, if any, Viagra and nitric oxide have against the virus.

Resources

  1. Dual effect of nitric oxide on SARS-CoV replication: Viral RNA production and palmitoylation of the S protein are affected (Virology)
  2. Lifestyle-mediated nitric oxide boost to prevent SARS-CoV-2 infection: A perspective (Nitric Oxide)
  3. Inhibition of SARS-coronavirus infection in vitro by S-nitroso-N-acetylpenicillamine, a nitric oxide donor compound (International Journal of Infectious Diseases)
  4. Mitigation of the replication of SARS-CoV-2 by nitric oxide in vitro (Redox Biology)
  5. Sildenafil for treating patients with COVID-19 and perfusion mismatch: a pilot randomized trial (Critical Care)
  6. Nitric Oxide Inhibits the Replication Cycle of Severe Acute Respiratory Syndrome Coronavirus (Journal of Virology)
  7. The effect of sildenafil on nitric oxide–mediated vasodilation in healthy men (Clinical Pharmacology & Therapeutics)
  8. Phosphodiesterase-5 (PDE5) Inhibitors In the Management of Erectile Dysfunction (Pharmacy and Therapeutics)
  9. Cyclic guanosine monophosphate (PubChem)
  10. Effects of Sildenafil Citrate (Viagra) Combined With Nitrate on the Heart (American Heart Association)
  11. Inhalation of Nitric Oxide in the Treatment of Severe Acute Respiratory Syndrome: A Rescue Trial in Beijing (Clinical Infectious Diseases)
  12. Nitric Oxide Gas Inhalation Therapy for Mild/Moderate COVID-19 (NoCovid) (ClinicalTrials.gov)
  13. A Pilot Study of Sildenafil in COVID-19 (ClinicalTrials.gov)
  14. Sildenafil in COVID-19 (ClinicalTrials.gov)
  15. How a discovery that brought us Viagra could help those battling the coronavirus (Los Angeles Times)
  16. Nurse Says Viagra Saved Her From Severe Covid-19 Coronavirus Infection (Forbes)
  17. Viagra's Other Uses (Harvard Medical School)
  1. Dual effect of nitric oxide on SARS-CoV replication: Viral RNA production and palmitoylation of the S protein are affected (Virology)
  2. Lifestyle-mediated nitric oxide boost to prevent SARS-CoV-2 infection: A perspective (Nitric Oxide)
  3. Inhibition of SARS-coronavirus infection in vitro by S-nitroso-N-acetylpenicillamine, a nitric oxide donor compound (International Journal of Infectious Diseases)
  4. Mitigation of the replication of SARS-CoV-2 by nitric oxide in vitro (Redox Biology)
  5. Sildenafil for treating patients with COVID-19 and perfusion mismatch: a pilot randomized trial (Critical Care)
  6. Nitric Oxide Inhibits the Replication Cycle of Severe Acute Respiratory Syndrome Coronavirus (Journal of Virology)
  7. The effect of sildenafil on nitric oxide–mediated vasodilation in healthy men (Clinical Pharmacology & Therapeutics)
  8. Phosphodiesterase-5 (PDE5) Inhibitors In the Management of Erectile Dysfunction (Pharmacy and Therapeutics)
  9. Cyclic guanosine monophosphate (PubChem)
  10. Effects of Sildenafil Citrate (Viagra) Combined With Nitrate on the Heart (American Heart Association)
  11. Inhalation of Nitric Oxide in the Treatment of Severe Acute Respiratory Syndrome: A Rescue Trial in Beijing (Clinical Infectious Diseases)
  12. Nitric Oxide Gas Inhalation Therapy for Mild/Moderate COVID-19 (NoCovid) (ClinicalTrials.gov)
  13. A Pilot Study of Sildenafil in COVID-19 (ClinicalTrials.gov)
  14. Sildenafil in COVID-19 (ClinicalTrials.gov)
  15. How a discovery that brought us Viagra could help those battling the coronavirus (Los Angeles Times)
  16. Nurse Says Viagra Saved Her From Severe Covid-19 Coronavirus Infection (Forbes)
  17. Viagra's Other Uses (Harvard Medical School)

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