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. 2014 Dec 5;77:14–17. doi: 10.1016/j.curtheres.2014.11.001

Table II.

Comparison between the MICs (µg/mL) of ciprofloxacin alone and ciprofloxacin in the presence of sildenafil, tadalafil, or vardenafil against standard bacterial strains

Standard bacterial strains MIC (µg/mL)*
Ciprofloxacin Ciprofloxacin + sildenafil Ciprofloxacin + tadalafil Ciprofloxacin + vardenafil
Escherichia coli 0.02 (0.01) 1300 (100) 1700 (100) 1800 (100)
Staphylococcus aureus 0.07 (0.05) 1167 (58) 1600 (100) 1833 (58)
Pseudomonas aeruginosa 0.07 (0.05) 1267 (58) 1700 (100) 1867 (58)
Staphylococcus epidermidis 0.14 (0.09) 1100 (100) 1500 (100) 1700 (100)
Acinetobacter baumannii 0.21 (0.07) 1400 (100) 1700 (100) 1767 (58)
Proteus mirabilis 0.17 (0.07) 1600 (100) 1900 (100) 1933 (58)
Klebsiella pneumoniae 0.14 (0.09) 933 (57) 1600 (100) 1733 (58)

We investigated whether PDEi could interfere with the antibacterial activity of ciprofloxacin.

Ciprofloxacin antibacterial action is inhibited when combined with PDEi

This observation is of significance, as ciprofloxacin is a commonly used antibiotic

The MIC values for ciprofloxacin alone were significantly (P < 0.05) lower than those of combination of ciprofloxacin with sildenafil, tadalafil, or vardenafil for all tested bacterial strains. Results are presented as mean (SD) of 3 independent experiments.