Country: মার্কিন যুক্তরাষ্ট্র
ভাষা: ইংরেজি
সূত্র: NLM (National Library of Medicine)
TADALAFIL (UNII: 742SXX0ICT) (TADALAFIL - UNII:742SXX0ICT)
Sunshine Lake Pharma Co., Ltd.
ORAL
PRESCRIPTION DRUG
Tadalafil is indicated for the treatment of pulmonary arterial hypertension (PAH) (WHO Group 1) to improve exercise ability. Studies establishing effectiveness included predominately patients with NYHA Functional Class II – III symptoms and etiologies of idiopathic or heritable PAH (61%) or PAH associated with connective tissue diseases (23%). Tadalafil is contraindicated in patients who are using any form of organic nitrate, either regularly or intermittently. Do not use nitrates within 48 hours of the last dose of tadalafil. Tadalafil potentiates the hypotensive effect of nitrates. This potentiation is thought to result from the combined effects of nitrates and tadalafil on the nitric oxide/cGMP pathway [see Clinical Pharmacology ( 12.2)] . Coadministration of GC stimulators such as riociguat with tadalafil is contraindicated. Tadalafil may potentiate the hypotensive effects of GC stimulators. Tadalafil is contraindicated in patients with a known serious hypers
Tadalafil tablets USP are supplied as follows:20 mg, yellow, capsular film-coated tablets, debossed with “C24” on one side and blank on the other side. Bottles of 60 NDC 48792-7915-1 Preserve in tight containers as defined in USP. Store at 20°C to 25°C (68°F to 77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Keep out of reach of children.
Abbreviated New Drug Application
TADALAFIL- TADALAFIL TABLET, FILM COATED SUNSHINE LAKE PHARMA CO., LTD. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE TADALAFIL TABLETS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR TADALAFIL TABLETS. TADALAFIL TABLETS FOR ORAL ADMINISTRATION INITIAL U.S. APPROVAL: 2003 INDICATIONS AND USAGE Tadalafil is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of pulmonary arterial hypertension (PAH) (WHO Group 1) to improve exercise ability. Studies establishing effectiveness included predominately patients with NYHA Functional Class II – III symptoms and etiologies of idiopathic or heritable PAH (61%) or PAH associated with connective tissue diseases (23%). ( 1.1) DOSAGE AND ADMINISTRATION 40 mg once daily, with or without food. ( 2.1) Dividing the dose (40 mg) over the course of the day is not recommended. ( 2.1) Use with ritonavir requires dosage adjustments. ( 2.4) DOSAGE FORMS AND STRENGTHS Tablets (not scored): 20 mg ( 3) CONTRAINDICATIONS Concomitant organic nitrates ( 4.1) Concomitant Guanylate Cyclase (GC) Stimulators ( 4.2) History of known serious hypersensitivity reaction to tadalafil tablets or CIALIS ( 4.3) WARNINGS AND PRECAUTIONS Hypotension: Carefully consider whether patients with certain underlying cardiovascular disease could be adversely affected by vasodilatory effects of tadalafil. Not recommended in patients with pulmonary veno-occlusive disease. ( 5.1, 5.2) Effects on the eye: Sudden loss of vision could be a sign of non-arteritic ischemic optic neuropathy (NAION) and may be permanent. ( 5.3) Hearing impairment: Cases of sudden decrease or loss of hearing have been reported with CIALIS. ( 5.4) Concomitant PDE5 inhibitors: Avoid use with CIALIS or other PDE5 inhibitors. ( 5.5) Prolonged erection: Advise patients to seek emergency treatment if an erection lasts >4 hours. ( 5.6) ADVERSE REACTIONS The most common adverse reaction is headache. ( 6.1) TO REPORT SUSPECTED ADVERSE REACTIONS, CONTACT H সম্পূর্ণ নথি পড়ুন