Country: Armenia
Language: English
Source: Դեղերի և բժշկական տեխնոլոգիաների փորձագիտական կենտրոնի գործունեության Հայաստանի Հանրապետությունում
sildenafil (sildenafil citrate)
Apotex Inc.
G04BE03
sildenafil (sildenafil citrate)
50mg
tablets
(4/1x4/) blister
Prescription
Registered
2015-03-25
IMPORTANT: PLEASE READ PART III: CONSUMER INFORMATION PR APO-SILDENAFIL (SILDENAFIL CITRATE TABLETS) THIS LEAFLET IS PART III OF A THREE-PART "PRODUCT MONOGRAPH" PUBLISHED WHEN APO-SILDENAFIL WAS APPROVED FOR SALE IN CANADA AND IS DESIGNED SPECIFICALLY FOR CONSUMERS. THIS LEAFLET IS A SUMMARY AND WILL NOT TELL YOU EVERYTHING ABOUT APO-SILDENAFIL. CONTACT YOUR DOCTOR OR PHARMACIST IF YOU HAVE ANY QUESTIONS ABOUT THE DRUG. ABOUT THIS MEDICATION WHAT THE MEDICATION IS USED FOR: APO-SILDENAFIL is a treatment for erectile dysfunction in male adults. This is when a man cannot achieve or maintain a hard, erected penis for satisfactory sexual activity. It is important to note that APO-SILDENAFIL works only with sexual stimulation. APO-SILDENAFIL alone does not increase your sex drive. WHAT IT DOES: APO-SILDENAFIL belongs to a class of medicine called phosphodiesterase type 5 (PDE5) inhibitors. Following sexual stimulation, APO-SILDENAFIL works by helping to relax the blood vessels in your penis by allowing blood to flow into your penis. This results in improved erectile function. WHEN IT SHOULD NOT BE USED: · If you are taking any medicines containing nitrates in any form (oral, sublingual [under the tongue], skin patch, or by inhalation [spray]). Although APO-SILDENAFIL is used occasionally, nitrates must never be used. Nitrates are found in many prescription medicines that are used in the treatment of angina pectoris (chest pain due to heart disease), such as nitroglycerin, isosorbide mononitrate, or isosorbide dinitrate. If you do not understand what nitrates are, or are unsure about whether a medication you are taking is a “nitrate”, ask your doctor or pharmacist. IF YOU TAKE APO-SILDENAFIL WITH NITRATE-CONTAINING MEDICINES OR ANY OTHER NITRATES (E.G., AMYL NITRITE “POPPERS”), YOUR BLOOD PRESSURE COULD SUDDENLY DROP TO A LIFE-THREATENING LEVEL. YOU COULD GET DIZZY, FAINT, OR EVEN HAVE A HEART ATTACK OR STROKE. · If you have ever had an allergic reaction to sildenafil citrate or the nonmedicinal ingredients Read the complete document
APPENDIX 1.9 THE SUMMARY OF THE PRODUCT CHARACTERISTICS (SMPC) _ _ Page 1 of 28 1. NAME OF THE MEDICINAL PRODUCT APO-SILDENAFIL Tablets 25 mg and 50 mg (Sildenafil Citrate Tablets 25 mg and 50 mg) 2. QUALITATIVE AND QUANTITATIVE COMPOSITION COMPONENT FUNCTION % W/W MG/TABLET 25 MG 50 MG CORE TABLET Sildenafil Citrate Active 36.84 35.0* 70.0** Microcrystalline Cellulose NF PH 102 Filler 60.82 57.78 115.56 Magnesium Stearate NF Lubricant 1.71 1.625 3.25 Croscarmellose Sodium NF Disintegrant 0.526 0.5 1.0 Colloidal Silicon Dioxide NF Glident 0.105 0.1 0.2 TOTAL CORE TABLET WEIGHT 100 95.0 190.0 FILM COATING Hydroxypropyl Cellulose NF TYPE LF Film coating agent 4.0 0.8 1.6 Hydroxypropyl Methylcellulose 2910 USP E5 Film coating agent 1.0 0.2 0.4 Polyethylene Glycol 8000 NF Solubiliser 2.0 0.4 0.8 Titanium Dioxide USP Opacifier 3.5 0.7 1.4 Indigotine AL Lake 12-14% (Blue #2) Colouring agent 0.5 0.1 0.2 Purified Water USP*** Carrier 89 -- -- TOTAL FILM-COATING SOLUTION 100 20 40 TOTAL FILM-COATING SOLUTION (EXCLUDING WATER) 11 2.2 4.4 TOTAL FILM COATED TABLET WEIGHT -- 97.2 194.4 * 35 mg Sildenafil Citrate is equivalent to 25 mg Sildenafil ** 70 mg Sildenafil Citrate is equivalent to 50 mg Sildenafil *** Purified water, used in coating solution, is removed during the drying process 3. PHARMACEUTICAL FORM Tablets APPENDIX 1.9 THE SUMMARY OF THE PRODUCT CHARACTERISTICS (SMPC) _ _ Page 2 of 28 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS APO-SILDENAFIL is indicated for: • the treatment of erectile dysfunction, which is the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION (WHERE APPROPRIATE DOSAGE ADJUSTMENTS IN SPECIFIC PATIENT GROUP SHOULD BE STATED) DOSING CONSIDERATIONS The following factors are associated with increased plasma levels (AUC) of sildenafil: • age 65 years or over (40%) • hepatic impairment (e.g. cirrhosis: 84%) • severe renal impairment (e.g. creatinine clearance <30 mL/min: 100%) • concomitant use Read the complete document