Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
SILDENAFIL CITRATE
MEDISPEC (M) SDN.BHD
SILDENAFIL CITRATE
4 Tablets
GENEPHARM S.A
EXTEMENT CHEWABLE TABLETS Sildenafil citrate equivalent to sildenafil (50mg,100mg) 1 _CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ WHAT IS IN THIS LEAFLET 1. What _EXTEMENT chewable tablets _ is used for 2. How _EXTEMENT chewable tablets _ works 3. Before you use _EXTEMENT _ _chewable tablets _ 4. How to use _EXTEMENT chewable _ _tablets _ 5. While you are using it 6. Side effects 7. Storage and Disposal of _EXTEMENT chewable tablets_ 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT _ EXTEMENT CHEWABLE TABLETS _ IS USED FOR 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. HOW _EXTEMENT _ _CHEWABLE _ _TABLETS _ WORKS _EXTEMENT _ 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. _EXTEMENT _ will only help you to get an erection if you are sexually stimulated. _ _ BEFORE YOU USE _ EXTEMENT CHEWABLE _ _TABLETS_ - _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, recent history of stroke or myocardial infarction and known hereditary degenerative retinal disorders - _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 hydro Baca dokumen lengkap
NAME OF THE MEDICINAL PRODUCT EXTEMENT 50mg chewable tablets EXTEMENT 100mg chewable tablets QUALITATIVE AND QUANTITATIVE COMPOSITION Each tablet contains sildenafil citrate equivalent to 50mg of sildenafil. Each tablet contains sildenafil citrate equivalent to 100mg of sildenafil. PHARMACEUTICAL FORM EXTEMENT 50 mg: White, Triangular, biconvex tablets, embossed “50” on one side EXTEMENT 100 mg: White, Triangular, biconvex tablets, embossed “100” on one side PHARMACODYNAMICS PHARMACOTHERAPEUTIC GROUP: DRUGS USED IN ERECTILE DYSFUNCTION 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 effect 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 intended beneficial pharmacological effects. PHARMACOKINETICS Absorption: Sildenafil is rapidly absorbed. Maximum observed plasma concentrations are reached within 30 to 120 minutes (median 60 minutes) of oral dosing in the fasted state. The mean absolute oral bioavailability is 41% (range 25 Baca dokumen lengkap