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. 2014 Jul 2;172(6):1434–1454. doi: 10.1111/bph.12700

Table 3.

Clinical studies targeting NOS/NO in ED

Therapy Drug dose Patients Sexual function References
L-arginine supplementation L-arginine 3 × 500 mg·day−1 32 patients with mixed-type impotence  No difference Klotz et al., 1999
L-arginine (5 g·day−1)  50 organic ED patients. A double-blind, randomized, placebo-controlled study. Significant improvement Chen et al., 1999
BH4 supplementation Single oral doses of BH4 200 mg or 500 mg 18 moderate ED patients in a randomized, placebo-controlled, double-blind crossover study. Increase duration of penile rigidity. Sommer et al., 2006
Combined therapies with L-arginine L-arginine aspartate 8 g + adenosine monophosphate 200 mg Mild-to-moderate ED whose erectile function domain score between 14 and 22 Effective Neuzillet et al., 2013
L-arginine + L-carnitine + nicotinic acid + vardanafil Insulin-dependent diabetic patients Better than PDE-5 inhibitor alone Gentile et al., 2009.
L-arginine 6 g + yohimbine 6 g during 2 weeks or L-arginine 6 g 42 patients mild to moderate ED. Double-blind, placebo-controlled, three-way crossover, randomized clinical trial. L-arginine do not improve alone but combined therapy improve erectile function Lebret et al., 2002
L-arginine aspartate 1 g during 3 months + pycnogenol 3 × 40 mg during 2 months 40 ED patients Improve sexual function. Stanislavov and Nikolova, 2003