Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
TADALAFIL
MEGA LIFESCIENCES SDN. BHD.
TADALAFIL
4 Pieces
ZIM Laboratories Limited
_Consumer Medication Information Leaflet (RiMUP) _ _ _ _ _ 1 MANFORM ODS -20 Tadalafil Orally Disintegrating Strips 20mg WHAT IS IN THIS LEAFLET 1. What Manform ODS is used for 2. How Manform ODS works 3. Before you use Manform ODS 4. How to use Manform ODS 5. While you are using Manform ODS 6. Side effects 7. Storage and disposal of Manform ODS 8. Product description 9. Manufacturer and product registration holder 10. Date of revision 11. Serial Number WHAT MANFORM ODS IS USED FOR Manform ODS is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Manform ODS has been shown to significantly improve the ability of obtaining a hard erect penis suitable for sexual activity. HOW MANFORM ODS WORKS Manform ODS contains the active ingredient tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors (PDE 5 inhibitors). Following sexual stimulation Manform ODS works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function. Manform ODS will not help you if you do not have erectile dysfunction. It is important to note that Manform ODS does not work if there is no sexual stimulation. You and your partner will need to engage in foreplay, just as you would if you were not taking a medicine for erectile dysfunction. BEFORE YOU USE MANFORM ODS _- When you must not use it _ Do not take Manform ODS if you: • are allergic to tadalafil or any of the other ingredients of this medicine (see section Product Description). • are taking any form of organic nitrate or nitric oxide donors such as amyl nitrite. This is a group of medicines (“nitrates”) used in the treatment of angina pectoris (“chest pain”). Manform ODS has been shown to increase the effects of these medicines. If you are taking any form of nitrate or are unsure tell your doctor. • have serious heart disease or recently had a heart attack within the las Baca dokumen lengkap
Studies in vitro have shown that tadalafil is a selective inhibitor of PDE5. PDE5 is an enzyme found in corpus cavernosum smooth muscle, vascular and visceral smooth muscle, skeletal muscle, platelets, kidney, lung, and cerebellum. The effect of tadalafil is more potent on PDE5 than on other phosphodiesterases. Tadalafil is > 10,000-fold more potent for PDE5 than for PDE1, PDE2, and PDE4, enzymes which are found in the heart, brain, blood vessels, liver, and other organs. Tadalafil is > 10,000-fold more potent for PDE5 than for PDE3, an enzyme found in the heart and blood vessels. This selectivity for PDE5 over PDE3 is important because PDE3 is an enzyme involved in cardiac contractility. Additionally, tadalafil is approximately 700-fold more potent for PDE5 than for PDE6, an enzyme which is found in the retina and is responsible for phototransduction. Tadalafil is also > 10,000-fold more potent for PDE5 than for PDE7 through PDE10. CLINICAL EFFICACY AND SAFETY In a published study performed in 186 patients (142 tadalafil, 44 placebo) for 12 weeks with erectile dysfunction secondary to spinal cord injury, tadalafil significantly improved the erectile function leading to a mean persubject proportion of successful attempts in Published studies conducted on 1054 patients in an at-home setting to define the period of responsiveness to tadalafil on demand. Tadalafil demonstrated statistically significant improvement in erectile function and the ability to have successful sexual intercourse up to 36 hours following dosing, as well as patients' ability to attain and maintain erections for successful intercourse compared to placebo as early as 16 minutes following dosing. _Erectile dysfunction _ Tadalafil is a selective, reversible inhibitor of cyclic guanosine monophosphate (cGMP) specific phosphodiesterase type 5 (PDE5). When sexual stimulation causes the local release of nitric oxide, inhibition of PDE5 by tadalafil produces increased levels of cGMP in the corpus cavernosum. This results in smooth musc Baca dokumen lengkap