Charm 100 mg (Tablet)

Unit Price: ৳ 50.00 (1 x 4: ৳ 200.00)
Strip Price: ৳ 200.00

Medicine Details

Indications

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

Description

  • Selective, reversible inhibitor of PDE5
  • Increases levels of cGMP in the corpus cavernosum
  • Results in smooth muscle relaxation and inflow of blood into the penile tissues

Pharmacology

  • Mechanism of Action: Release of nitric oxide leads to increased levels of cGMP, producing smooth muscle relaxation and allowing inflow of blood
  • Pharmacokinetics and Metabolism: Rapid absorption, hepatic metabolism, terminal half lives of about 4 hours
  • Absorption and Distribution: Rapidly absorbed, maximum observed plasma concentrations reached within 30 to 120 minutes
  • Metabolism and Excretion: Cleared by hepatic microsomal isoenzymes

Dosage & Administration

  • Erectile dysfunction: Recommended dose is 50 mg taken approximately 1 hour before sexual activity, with possible adjustment to 100 mg or 25 mg based on toleration
  • Pulmonary arterial hypertension: Recommended dose is 20 mg three times a day

Interaction

  • Metabolism is mediated by CYP3A4 and CYP2C9
  • Inhibitors of these isoenzymes may reduce clearance
  • Inducers of these isoenzymes may increase clearance

Contraindications

  • Hypersensitivity to any component
  • Concomitant use with organic nitrates

Side Effects

  • Various body reactions
  • Cardiovascular effects
  • Digestive effects
  • Hemic and Lymphatic effects
  • Metabolic and Nutritional effects
  • Musculoskeletal effects
  • Nervous system effects
  • Respiratory effects
  • Skin and Appendages effects
  • Special Senses effects
  • Urogenital effects
  • Serious cardiovascular, cerebrovascular, and vascular events
  • Seizure, anxiety, and transient global amnesia
  • Prolonged erection, priapism, hematuria
  • Visual disturbances

Pregnancy & Lactation

Category B. No adequate and well-controlled studies in pregnant women.

Precautions & Warnings

  • Caution when co-administered with alpha-blockers
  • Consideration for patients with underlying conditions
  • Potential cardiac risk in patients with preexisting cardiovascular disease
  • Sensitive patients to vasodilators

Overdose Effects

Adverse events at higher incidence rates and severities

Therapeutic Class

Drugs for Erectile Dysfunction

Storage Conditions

Keep in a dry place, away from light and heat

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