“…PDE type 5 inhibitors, which elevate cGMP levels by blocking their enzymatic degradation, are well known for their role in treating erectile dysfunction (Boolell et al, 1996; Sandner et al, 2008), but may have additional indications in the brain. Sildenafil has been shown to have antidepressant, anxiolytic, and cognitive effects, and to increase cGMP levels in the hippocampus (Rutten et al, 2005; Liebenberg et al, 2010, 2012; Uthayathas et al, 2013; Zhang et al, 2013). Tadalafil has similar antidepressant and anxiolytic effects, and has additionally been shown to reverse cognitive dysfunction by crossing the blood–brain barrier (Liebenberg et al, 2010, 2012; García-Barroso et al, 2013).…”