Avanafil is a PDE5 inhibitor approved for erectile dysfunction by the FDA on April 27, 2012 and by EMA on June 21, 2013. Avanafil is sold under the brand names Stendra and Spedra. It was invented at Mitsubishi Tanabe Pharma, formerly known as Tanabe Seiyaku Co., and licensed to Vivus Inc., which partnered with Menarini Group to commercialise Spedra in over forty European countries, Australia, and New Zealand. Metuchen Pharmaceuticals obtained exclusive rights within the United States.Avanafil acts by inhibiting a specific phosphodiesterase type 5 enzyme found in various body tissues, primarily in the corpus cavernosum penis. Other similar drugs are sildenafil, tadalafil and vardenafil. The advantage of avanafil is that it has very fast onset of action compared with other PDE5 inhibitors. It is absorbed quickly, reaching a maximum serum concentration in about thirty to forty-five minutes. About two-thirds of the participants were able to engage in sexual activity within fifteen minutes. Medical use
Avanafil is used to treat erectile dysfunction (ED). Adverse effects
Although avanafil is generally well tolerated, dose dependent adverse effects can occur. The most common adverse effects include headache, flushing, nasopharynigitis, nasal congestion, and back pain. While it is also uncommon, there is a potential for visual disturbances to occur in patients. Mechanism of action
Avanafil inhibits phosphodiesterase-5, preventing the degradation of cGMP. The increased levels of cGMP causes vasodilation, resulting in an increased blood flow in the penis. Avanafils mechanism of action takes places once nitric oxide is released, in association with sexual stimulation.
Magnesium sulfate can even pollute water if used in excessive amounts.Magnesium sulfate was historically used as a treatment for lead poisoning prior to the development of chelation therapy, as it was hoped that any lead ingested would be precipitated out by the magnesium sulfate and subsequently purged from the digestive system. This application saw particularly widespread use among veterinarians during the early-to-mid 20th century; Epsom salt was already available on many farms for agricultural use, and it was often prescribed in the treatment of farm animals that inadvertently ingested lead. Food preparation
Magnesium sulfate is used as

Brewing salt in making beer. coagulant for making tofu. Salt substitute. Chemistry
Anhydrous magnesium sulfate is commonly used as a desiccant in organic synthesis owing to its affinity for water and compatibility with most organic compounds. During work-up, an organic phase is treated with anhydrous magnesium sulfate. The hydrated solid is then removed by filtration, decantation, or by distillation (if the boiling point is low enough). Other inorganic sulfate salts such as sodium sulfate and calcium sulfate may be used in the same way. Construction
Magnesium sulfate is used to prepare specific cements by the reaction between magnesium oxide and magnesium sulfate solution, which are of good binding ability and more resistance than Portland cement. This cement is mainly adopted in the production of lightweight insulation panels. Weakness in water resistance limits its usage.