国: アメリカ合衆国
言語: 英語
ソース: NLM (National Library of Medicine)
TADALAFIL (UNII: 742SXX0ICT) (TADALAFIL - UNII:742SXX0ICT)
Solco Healthcare US, LLC
ORAL
PRESCRIPTION DRUG
Tadalafil tablets are 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 tablets are 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 tablets. Tadalafil tablets potentiate the hypotensive effect of nitrates. This potentiation is thought to result from the combined effects of nitrates and tadalafil tablets on the nitric oxide/cGMP pathway [see Clinical Pharmacology (12.2)] . Coadministration of GC stimulators such as riociguat with tadalafil tablets are contraindicated. Tadalafil tablets may potentiate the hypotensive effects of GC stimulators. Tadalafil tablets are contraindicated in patients with a k
Tadalafil Tablets,USP are supplied as follows: 20 mg pale orange, film-coated, almond-shaped tablets (not scored), debossed with “990” Store at 20o C to 25o C (68o F to 77o F); excursions permitted to 15o C to 30o C (59o F to 86o F) [see USP Controlled Room Temperature]. Keep out of reach of children.
Abbreviated New Drug Application
TADALAFIL- TADALAFIL TABLET Solco Healthcare US, LLC ---------- PATIENT INFORMATION Tadalafil Tablets, USP (ta DAL a fil) Read this patient information before you start taking tadalafil tablets and each time you get a refill. There may be new information. This information does not take the place of talking with your healthcare provider about your medical condition or treatment. What is the most important information I should know about tadalafil tablets? Never take tadalafil tablets with any nitrate or guanylate cyclase stimulator medicines: • Your blood pressure could drop quickly to an unsafe level • You could get dizzy, faint and even have a heart attack or stroke. Nitrates include: • Medicines that treat chest pain (angina) • Nitroglycerin in any form including tablets, patches, sprays, and ointments • Other nitrate medicines (isosorbide mononitrate or dinitrate) • Street drugs that are inhaled, called “poppers” (amyl nitrate, butyl nitrate or nitrite) Guanylate cyclase stimulators include: • Riociguat (Adempas®) a medicine that treats pulmonary arterial hypertension and chronic- thromboembolic pulmonary hypertension Ask your healthcare provider or pharmacist if you are not sure if you take a nitrate or guanylate cyclase stimulator medicine. What are tadalafil tablets? Tadalafil tablets are a prescription medicine used to treat pulmonary arterial hypertension (PAH, high blood pressure in your lungs) to improve your ability to exercise. It is not known if tadalafil tablets are safe or effective in children. Who should not take tadalafil tablets? Do not take tadalafil tablets if you • take any medicines called nitrates. • use recreational drugs called “poppers” like amyl nitrate, butyl nitrate or nitrite. • take any medicines called guanylate cyclase stimulators • are allergic to tadalafil or any other ingredient in tadalafil tablets. See “What are the ingredients in tadalafil tablets?” at the end of this leaflet. See “What is the most important information I should know abo 完全なドキュメントを読む
TADALAFIL- TADALAFIL TABLET SOLCO HEALTHCARE US, LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE TADALAFIL SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR TADALAFIL. TADALAFIL (TADALAFIL) TABLET FOR ORAL USE. INITIAL U.S. APPROVAL: 2003 INDICATIONS AND USAGE Tadalafil tablets are 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 • • • DOSAGE FORMS AND STRENGTHS Tablets (not scored): 20 mg (3) CONTRAINDICATIONS • • • WARNINGS AND PRECAUTIONS • • • • • ADVERSE REACTIONS The most common adverse reaction is headache. (6.1) TO REPORT SUSPECTED ADVERSE REACTIONS, CONTACT SOLCO HEALTHCARE US, LLC. AT 1-866-257- 2597 OR FDA AT 1-800-FDA-1088 OR WWW.FDA.GOV/MEDWATCH. USE IN SPECIFIC POPULATIONS Renal Impairment (2.2, 8.6, 12.3) • • Hepatic Impairment (2.2, 8.7, 12.3) • • SEE 17 FOR PATIENT COUNSELING INFORMATION AND MEDICATION GUIDE. REVISED: 8/2022 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) 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) Hypotension: Carefully consider whether patients with certain underlying cardiovascular disease could be adversely affected by vasodilatory effects of tadalafil tablets. 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 pe 完全なドキュメントを読む