Vigorex 100 mg (Tablet)

Unit Price: ৳ 50.15 (2 x 5: ৳ 501.50)
Strip Price: ৳ 250.75

Medicine Details

Indications

  • Treatment of erectile dysfunction in men
  • Indicated in 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 penile tissues

Pharmacology

  • Involves release of nitric oxide in the corpus cavernosum
  • Activates the enzyme guanylate cyclase
  • Results in increased levels of cGMP
  • Producing smooth muscle relaxation and allowing inflow of blood

Mechanism of Action

  • Inhibition of PDE5 by Vigorex
  • Enhances the effect of nitric oxide
  • No direct relaxant effect on isolated human corpus cavernosum

Pharmacokinetics and Metabolism

  • Rapidly absorbed after oral administration
  • Mean absolute bioavailability of 41%
  • Eliminated predominantly by hepatic metabolism
  • Converted to an active metabolite

Dosage & Administration

  • Recommended dose of 50 mg for most patients
  • May be taken 1 hour before sexual activity
  • Maximum recommended dosing frequency is once per day
  • Associated factors with increased plasma levels

Interaction

  • Metabolism mediated by CYP isoforms 3A4 and 2C9
  • Inhibitors of these isoenzymes reduce clearance
  • Inducers of these isoenzymes may increase clearance
  • Effects of coadministration with CYP3A4 inhibitors

Contraindications

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

Side Effects

  • Variety of potential body system reactions and adverse events

Pregnancy & Lactation

  • Pregnancy category B
  • No adequate and well-controlled studies in pregnant women
  • Sildenafil is not indicated for use by women
  • No evidence of teratogenicity or embryotoxicity in animal study

Precautions & Warnings

  • Evaluation of erectile dysfunction should include determination of underlying causes
  • Caution advised when PDE5 inhibitors are co-administered with alpha-blockers
  • Consideration for patients with various underlying conditions

Overdose Effects

  • Adverse events similar to lower doses but with increased incidence rates and severities
  • Standard supportive measures should be adopted as required
  • Renal dialysis not expected to accelerate 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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