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Tadafil

Form: Tablet

Strength: 5mg

Generic Name: Tadalafil

Company: Astra Biopharmaceuticals Ltd.

MRP:৳ 18.0   (Tablet)

Is Antibiotic: No

Indications

Tadafil is indicated for the treatment of Erectile Dysfunction (ED), Benign Prostatic Hyperplasia (BPH), or both ED and symptoms of BPH.

Pharmacology

Tadafil is a selective inhibitor of phosphodiesterase type 5 (PDE5). By inhibiting PDE5, Tadafil increases the levels of cGMP in smooth muscle cells. This helps relax the smooth muscles and increase blood flow to the penis, causing an erection. PDE5 is also found in the prostate and bladder wall, so inhibiting Tadafil improves blood flow and helps with urination by relaxing smooth muscles in those areas.

Dosage & Administration

Erectile Dysfunction: The recommended starting dose is 10 mg, which can be adjusted to 5 mg or 20 mg based on individual needs. The maximum dosing frequency is once a day. Tadafil is effective for up to 36 hours.

Benign Prostatic Hyperplasia: The recommended dose is 5 mg once daily, at the same time each day.

Combined Erectile Dysfunction and Benign Prostatic Hyperplasia: The recommended dose is 5 mg once daily, at the same time each day.

Interaction

Tadafil may interact with nitrates (e.g., Isosorbide, Nitroglycerin), alpha blockers, antihypertensives, alcohol, antacids, certain antifungals (e.g., Ketoconazole, Itraconazole), HIV protease inhibitors (e.g., Ritonavir), Erythromycin, Grapefruit juice, and other medications like Rifampin, Carbamazepine, Phenytoin, and Phenobarbital.

Contraindications

Tadafil is contraindicated for use with nitrates (e.g., Nitroglycerine, Isosorbide) due to the risk of dangerously low blood pressure. Tadafil should also not be used in patients with hypersensitivity to Tadalafil.

Side Effects

Common side effects include headache, indigestion, back pain, muscle pain, and nasal congestion. Rare side effects may include changes in vision, sudden vision loss, hearing loss, skin reactions like Stevens-Johnson Syndrome, and serious heart-related issues such as angina, stroke, or heart attack.

Pregnancy & Lactation

Tadafil has been assigned pregnancy category B by the USFDA, meaning Tadafil is only recommended during pregnancy if the benefits outweigh the risks. There is no data on its excretion in human milk, so caution is advised when giving Tadafil to breastfeeding women.

Precautions & Warnings

Precautions should be taken when using Tadafil in patients with angina, renal or liver impairment, bleeding problems, or those taking medications like Nitrates, alpha blockers, alcohol, or CYP3A4 inhibitors (e.g., Ritonavir, Ketoconazole, Itraconazole).

Overdose Effects

No information available on overdose effects for topical application.

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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