Acmegra 100 mg (Tablet)

Unit Price: ৳ 45.00 (1 x 4: ৳ 180.00)
Strip Price: ৳ 180.00

Medicine Details

Title and Categories

  • Acmegra - Medicine Product
  • Erectile Dysfunction Treatment
  • Pulmonary Arterial Hypertension Medication

Dimensions

  • N/A

Color Options

  • N/A

Functions

  • Treats men with erectile dysfunction
  • Indicated in pulmonary arterial hypertension

Materials

  • N/A

Technical Specifications

  • Selective, reversible inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5)
  • Metabolized by cytochrome P450 isoforms 3A4 and 2C9
  • Rapidly absorbed after oral administration with a mean absolute bioavailability of 41%
  • Eliminated predominantly by hepatic metabolism
  • Maximum observed plasma concentrations reached within 30 to 120 minutes of oral dosing in the fasted state

Design Elements

  • N/A

Usability Features

  • Requires sexual stimulation to be effective
  • Recommended dosage starts at 50 mg and may be adjusted based on toleration
  • Maximum recommended dosing frequency is once per day

Indications

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

Description

  • Selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5)

Mode of Action

  • Causes smooth muscle relaxation and inflow of blood into the penile tissues
  • Involves release of nitric oxide during sexual stimulation
  • Enhances the effect of nitric oxide by inhibiting PDE5
  • Rapidly absorbed after oral administration
  • Cleared by hepatic microsomal isoenzymes

Dosage & Administration

  • Recommended dose is 50 mg taken approximately 1 hour before sexual activity
  • Dosage may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg based on toleration
  • Maximum recommended dosing frequency is once per day
  • Recommended dose for pulmonary arterial hypertension is 20 mg three times a day

Interaction

  • Metabolism is primarily mediated by cytochrome P450 isoforms 3A4 and 2C9
  • Inhibitors or inducers of these isoenzymes may affect Acmegra clearance
  • Strong CYP3A4 inhibitors may have significant effects on Acmegra levels

Contraindications

  • Hypersensitivity to any component of the medication
  • Use of organic nitrates

Side Effects

  • Various body system reactions including cardiovascular, digestive, musculoskeletal, nervous, respiratory, skin, and urogenital issues
  • Serious cardiovascular, cerebrovascular, and vascular events have been reported post-marketing

Pregnancy & Lactation

  • Pregnancy category B
  • Not indicated for use by women
  • Animal studies show no evidence of teratogenicity or embryotoxicity

Precautions & Warnings

  • Evaluation of erectile dysfunction should include determination of potential underlying causes
  • Caution advised when PDE5 inhibitors are co-administered with alpha-blockers
  • Potential for cardiac risk of sexual activity in patients with preexisting cardiovascular disease
  • Caution advised in patients with anatomical deformation of the penis or conditions predisposing to priapism

Overdose Effects

  • Adverse events similar to lower doses but with increased incidence rates and severities

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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