- Linagliptin is an approved DPP-4 inhibitor for treating type 2 diabetes that exhibits non-linear pharmacokinetics. Tadalafil is a PDE-5 inhibitor used to treat erectile dysfunction that has linear pharmacokinetics. - A study was conducted in 10 healthy Egyptian males to investigate the pharmacokinetic drug interaction between linagliptin and tadalafil. Upon co-administration, tadalafil absorption was delayed, clearance decreased by 2-fold, volume of distribution decreased by 3-fold, and maximum concentration and total exposure increased by 2.5-fold. - Co-administration resulted in increased muscle pain in 10% of volunteers and