Χώρα: Μαλαισία
Γλώσσα: Αγγλικά
Πηγή: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
SILDENAFIL CITRATE
AJ RESEARCH & PHARMA SDN. BHD.
SILDENAFIL CITRATE
4tablet Tablets
GENEPHARM S.A
_Consumer Medication Information Leaflet (RiMUP) _ 1 AJENAFIL CHEAWABLE TABLET Sildenafil Citrate 25mg, 50mg and 100mg WHAT IS IN THIS LEAFLET 1. What Ajenafil Chewable Tablet is used for 2. How Ajenafil Chewable Tablet it works 3. Before you use Ajenafil Chewable Tablet 4. How to use Ajenafil Chewable Tablet 5. While you are using Ajenafil Chewable Tablet 6. Side Effect 7. Storage and Disposal Ajenafil Tablet 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT AJENAFIL CHEWABLE TABLET IS USED FOR: Treatment for adult men with erectile dysfunction, sometimes known as impotence. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. HOW AJENAFIL CHEWABLE TABLET WORKS: Ajenafil contains the active substance sildenafil which belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited. Ajenafil will only help you to get an erection if you are sexually stimulated. BEFORE YOU USE AJENAFIL CHEWABLE TABLET: _When you must not use it: _ Hypersensitivity to the active substance or to any of the excipients. Sexual activity is inadvisable. Have loss of vision in one eye because of Non-Arteritic Anterior Ischaemic Optic Neuropathy (NAION). Severe hepatic impairment, hypotension (blood pressure <90/50 mmHg), recent history of stroke or myocardial infarction and known hereditary degenerative retinal disorders such as _retinitis pigmentosa._ _Before you start to use it: _ Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. _Taking other medicines _ Tell your healthcare provider if you take any of the following: CYP3A4 inhibitor such as Ketoconazole,erythromycin and cimetidine. Medicines called HIV protease inhibitors, such as ritonavir, saquinavir Antacid such as magnesium Διαβάστε το πλήρες έγγραφο
Proposed Package Insert Brand or Product Name Ajenafil Chewable Tablet 25 mg Ajenafil Chewable Tablet 50 mg Ajenafil Chewable Tablet 100 mg Name and Strength Each chewable tablet 25 mg sildenafil formed in situ from 35.15 mg sildenafil citrate Each chewable tablet 50 mg sildenafil formed in situ from 70.24 mg sildenafil citrate Each chewable tablet 100 mg sildenafil formed in situ from 140.48 mg sildenafil citrate Product Description 25 mg: White, triangular, with a side of 7.3 mm, biconvex, embossed with “25” on one side. 50 mg: White, triangular, with a side of 8.8 mm, biconvex, embossed with “50” on one side. 100 mg : White, triangular, with a side of 11.8 mm, biconvex, embossed with “100” on one side. Pharmacodynamics/ Pharmacokinetics Pha rmacotherapeutic group: Selective Phosphodiesterase -5 (PDE -5) Inhibitor ATC -code: G04B E03 Sildenafil is an oral therapy for erectile dysfunction. In the natural setting, i.e. with sexual stimulation, it restores impaired erectile function by increasing blood flow to the penis. The physiological mechanism responsible for erection of the penis involves the release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. Nitric oxide then activates the enzyme guanylate cyclase, which results in increased levels of cyclic guanosine monophosphate (cGMP), producing smooth muscle relaxation in the corpus cavernosum and allowing inflow of blood. Sildenafil is a potent and selective inhibitor of cGMP specific phosphodiesterase type 5 (PDE5) in the corpus cavernosum, where PDE5 is responsible for degradation of cGMP. Sildenafil has a peripheral site of action on erections. Sildenafil has no direct relaxant effect on isolated human corpus cavernosum but potently enhances the relaxant eff ect of NO on this tissue. When the NO/cGMP pathway is activated, as occurs with sexual stimulation, inhibition of PDE5 by sildenafil results in increased corpus cavernosum levels of cGMP. Therefore sexual stimulation is required in order for sildenafil to produce its in Διαβάστε το πλήρες έγγραφο