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The agency's briefing document centers on ulcerative colitis here's what providers should know

[6] First-line pharmacological treatments include phosphodiesterase type 5 (PDE5) inhibitors, which are licensed, well-studied medications: Sildenafil (Viagra): Typically effective within 30-60 minutes, lasting 4-6 hours [7] Tadalafil (Cialis): Longer duration of action (up to 36 hours), also available as daily low-dose formulation [8] Vardenafil (Levitra): Similar efficacy to sildenafil with slightly different pharmacokinetics Avanafil (Spedra): Take approximately 30 minutes before sexual activity

Vascular supply importance: Rich blood supply delivers oxygen, nutrients, inflammatory cells, growth factors, and calcium to healing sites

The patient is no longer being managed only to remain stable