X-Cite 100 mg (Tablet)

Unit Price: ৳ 50.15 (1 x 4: ৳ 200.60)
Strip Price: ৳ 200.60

Medicine Details

Category Details
Generic Sildenafil citrate
Company Alco pharma ltd
Also available as

Therapeutic Class

  • Drugs for Erectile Dysfunction

Indications

  • Treatment of erectile dysfunction in men
  • Also indicated for pulmonary arterial hypertension

Description

  • Selective, reversible inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5)
  • Causes smooth muscle relaxation and inflow of blood into the penile tissues

Pharmacology

  • Mechanism of action involves release of nitric oxide in corpus cavernosum during sexual stimulation
  • Rapidly absorbed after oral administration with a mean absolute bioavailability of 41%
  • Metabolized predominantly by hepatic metabolism
  • Cleared by hepatic microsomal isoenzymes
  • Reduced clearance in elderly volunteers

Dosage & Administration

  • Recommended dose of 50 mg taken approximately 1 hour before sexual activity
  • Maximum recommended dosing frequency is once per day
  • Increased plasma levels associated with age >65, hepatic impairment, severe renal impairment, and concomitant use of potent cytochrome P450 3A4 inhibitors
  • Recommended dose for pulmonary arterial hypertension is 20 mg three times a day

Interaction

  • Metabolism mediated by cytochrome P450 isoforms 3A4 and 2C9
  • Inhibitors of these isoenzymes may reduce clearance

Contraindications

  • Hypersensitivity to any component of the medication
  • Concomitant use of organic nitrates

Side Effects

  • Various side effects affecting different body systems including cardiovascular, digestive, hemic and lymphatic, metabolic and nutritional, musculoskeletal, nervous, respiratory, skin and appendages, special senses, and urogenital
  • Serious cardiovascular, cerebrovascular, and vascular events reported post-marketing

Pregnancy & Lactation

  • Pregnancy category B
  • Not indicated for use by women

Precautions & Warnings

  • Caution advised when PDE5 inhibitors are co-administered with alpha-blockers
  • Potential for cardiac risk in patients with preexisting cardiovascular disease
  • Sensitivity in patients with certain underlying conditions
  • Potential for prolonged erection and priapism
  • Caution in patients taking ritonavir

Overdose Effects

  • In studies with healthy volunteers of single doses up to 800 mg, adverse events were similar to those seen at lower doses

Storage Conditions

  • Keep in a dry place, away from light and heat
  • Keep out of the reach of children

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