Charm 25 mg (Tablet)

Unit Price: ৳ 20.00 (1 x 4: ৳ 80.00)
Strip Price: ৳ 80.00

Medicine Details

Indications

  • Treatment of erectile dysfunction in men
  • Treatment of pulmonary arterial hypertension

Description

  • Selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5)
  • Works by increasing levels of cGMP in the corpus cavernosum, resulting in smooth muscle relaxation and increased blood flow to penile tissues

Pharmacology

  • Mechanism of action involves release of nitric oxide in the corpus cavernosum during sexual stimulation
  • Enhances the effect of nitric oxide by inhibiting PDE5
  • Rapidly absorbed after oral administration with a mean bioavailability of 41%

Dosage & Administration

  • Recommended starting dose for erectile dysfunction is 50 mg taken approximately 1 hour before sexual activity
  • Maximum recommended dosing frequency is once per day

Interaction

  • Metabolism primarily mediated by cytochrome P450 (CYP) isoforms 3A4 and 2C9
  • Inhibitors of CYP3A4 and CYP2C9 may reduce drug clearance
  • Inducers of CYP3A4 and CYP2C9 may increase drug clearance

Contraindications

  • Contraindicated in patients with hypersensitivity to any component of the medication
  • Contraindicated in patients using organic nitrates

Side Effects

  • May include face edema, chest pain, vomiting, anemia, myalgia, insomnia, dyspnea, urticaria, and prolonged erection
  • 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 co-administered with alpha-blockers
  • Consideration advised for patients with bleeding disorders, active peptic ulceration, and anatomical deformation of the penis
  • Not generally recommended for men for whom sexual activity is inadvisable due to underlying cardiovascular status

Overdose Effects

  • In cases of overdose, standard supportive measures should be adopted as required
  • Renal dialysis not expected to accelerate drug clearance

Therapeutic Class

  • Drugs for Erectile Dysfunction

Storage Conditions

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

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