Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
SILDENAFIL CITRATE
Abio Marketing Sdn Bhd
SILDENAFIL CITRATE
4tablet Tablets
NANG KUANG PHARM CO
Page 1 of 2 pages _Consumer Medication Information Leaflet (RiMUP) _ AVOGRA 50MG TABLET Sildenafil citrate 70.25mg, equivalent to Sildenafil 50mg WHAT IS IN THIS LEAFLET:_ _ a) What Avogra is used for b) How Avogra works c) Before you use Avogra d) How to use Avogra e) While you are using Avogra f) Side effects g) Storage and disposal of Avogra h) Product description i) Manufacturer j) Product Registration Holder k) Date of revision WHAT AVOGRA IS USED FOR: The name of your medicine is Avogra 50mg Tablet (called ‘Avogra’ in this leaflet). Avogra is a treatment for 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. You should not take Avogra if you do not have erectile dysfunction. You should not take Avogra if you are a woman. HOW AVOGRA WORKS: Avogra contains the active substance sildenafil which belongs to a group of medicines called phosphordiesterase type 5 (PDE 5) 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. Avogra will only help you to get an erection if you are sexually stimulated. BEFORE YOU USE AVOGRA WHEN YOU MUST NOT USE IT: Do not take this medicine and tell your doctor if: If you are taking medicines containing nitrates, or nitric oxide donors such as amyl nitrites. These medicines are often given for relief of chest pain (angina pectoris). Avogra can cause a serious increase in the effects of these medicines. Tell your doctor if you are taking any of these medicines. If you are not certain, ask your doctor or pharmacist. If you are allergic (hypersensitive) to sildenafil or any of the other ingredients of Avogra. If you have a severe heart or liver problem. If you have recently had a stroke or a heart attack, or if you have low blood pressure. If you have certain eye problems (such as sensitivity to light and low vision). If you have ever had loss of vision because of certain a Baca dokumen lengkap
COMPOSITION: Each tablet contains: Sildenafil citrate 70.25 mg equivalent to 50mg of Sildenafil PRODUCT DESCRIPTION: Avogra 50mg Tablet is a white, oval-shaped film coated tablet, engraved “NK” in one side and double “526” on the other side. PHARMACOLOGICAL PROPERTIES: PHARMACODYNAMIc PROPERTIES ATC code : G04B E03 Sildenafil is a selective inhibitor of phosphodiesterases (PDEs), with the greatest selectivity for PDE type 5. At least 10 isoenzyme families of PDE have been identified, several of which (e.g. PDE types 5 and 6) selectively hydrolyze cyclic guanosine monophosphate (cGMP) relative to cyclic adenosine monophosphate (cAMP). Sildenafil selectively inhibits cGMP-specific PDE type 5, the principal isoenzyme involved in the metabolism of cGMP to GMP in the corpora cavernosa of the penis and clitoris, PDE types 2 and 3 also are present in these corpora cavernosa, and sildenafil also inhibits these isoenzymes albeit substantially less potently (i.e., requires doses exceeding usual therapeutic levels). PDE type 5 also has been isolated from lung, platelets, kidney, spleen and various vascular (e.g., penile and clitoral corpora cavernosa) and visceral smooth muscle (e.g., gastric fundus, esophageal sphincter, colon) and skeletal muscle but not from cardiac muscle. By inhibiting PDEtype 5, sildenafil causes accumulation of cGMP in various tissues, including the penile and clitoral corpora cavernosa. The role of cGMP as a modulator of cAMP signal transduction pathways remains to be more fully elucidated, but ex vivo studies indicate that sildenafil does not appear to appreciably affect cAMP tissue concentrations. Sildenafil also exhibits some activity against other PDE isoenzymes. In vitro, sildenafil is about 10 times more active against PDE type 5 than against PDE type 6, greater than 70-80 times more active against PDE type 5 than against PDE type 1, greater than 1000 times more active against PDE type 5 than against PDE types 2 and 4, and 4000 times more active against PDE type 5 than against PDE type Baca dokumen lengkap