Sefety Advices
বাংলা
English
UNSAFE
It is unsafe to consume alcohol with Penfil 10.
SAFE IF PRESCRIBED
Penfil 10 is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.
CONSULT YOUR DOCTOR
Information regarding the use of Penfil 10 during breastfeeding is not available. Please consult your doctor.
UNSAFE
Penfil 10 may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
CAUTION
Penfil 10 should be used with caution in patients with kidney disease. Dose adjustment of Penfil 10 may be needed. Please consult your doctor.
CAUTION
Penfil 10 should be used with caution in patients with liver disease. Dose adjustment of Penfil 10 may be needed. Please consult your doctor.
Use of Penfil 10 is not recommended in patients with severe liver disease.
Medical Overview
Introduction
Penfil 10 is used to treat erectile dysfunction in men. It increases blood flow to the penis to help men get an erection. It works by helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited.
Penfil 10 may be taken on an empty stomach or with a meal. It should be strictly taken as advised by your doctor. The medicine will only help you to get an erection if you are sexually stimulated. You should take it about one hour before you plan to have sex. The amount of time it takes to work varies from person to person, but it normally takes between 30 minutes and one hour. Only take it if you need it and it has been prescribed to you by a doctor.
The most common side effects of this medicine are flushing, headache, blurred vision, muscle pain, stomach upset, and rash. Talk to your doctor if the side effects bother you or will not go away.
This medicine is not intended for use by women and men should avoid using any other medicines to treat impotence without talking to a doctor. It can be dangerous to take it along with medicines called nitrates (often given for chest pain). Do not take this medicine if you have severe heart or liver problems, if you have recently had a stroke or heart attack or if you have low blood pressure. Let your doctor know if you suffer from these or any other health problems before taking it. You should not drive if this medicine makes you feel dizzy. Avoid drinking alcohol while taking this medicine as it can lead to side effects.
Uses of Penfil 10
- Erectile dysfunction
Side effects of Penfil 10
Common
- Headache
- Blurred vision
- Muscle pain
- Nasal congestion (stuffy nose)
- Flushing (sense of warmth in the face, ears, neck and trunk)
- Nosebleeds
How to use Penfil 10
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Penfil 10 may be taken with or without food, but it is better to take it at a fixed time.
How Penfil 10 works
Penfil 10 is a phosphodiesterase (PDE-5) inhibitor. It works in erectile dysfunction by increasing blood flow to the penis by relaxing the muscles in penile blood vessels.
What if you forget to take Penfil 10?
If you miss a dose of Penfil 10, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Quick Tips
- You have been prescribed Penfil 10 for the treatment of erectile dysfunction.
- It is best to take it an hour before sexual intercourse. But, you can take it anytime between 30 minutes and 4 hours before sexual activity.
- Do not take it more than once a day.
- It may also be used for treating the urinary symptoms of an enlarged prostate gland (benign prostatic hyperplasia).
- It may cause dizziness or blurred vision. Do not drive or do anything requiring concentration until you know how it affects you.
- Avoid drinking alcohol as it can reduce your ability to get an erection and can make dizziness worse.
- Seek medical attention if the erection persists for more than 4 hours after sexual intercourse.
- Do not use Penfil 10 if you have recently taken nitrates (medicines used in angina or chest pain), if you have had a heart attack in the past 3 months, or stroke or heart failure in the past 6 months.
Brief Description
Indication
Erectile dysfunction, signs and symptoms of benign prostatic hyperplasia (BPH)
Administration
May be taken with or without food.
In order for Tadalafil to be effective, sexual stimulation is required.
It can be taken from 30 minutes to 12 hours prior to sexual activity. Efficacy of Tadalafil may persist up to 24 hours post-dose.
Adult Dose
Oral
Erectile dysfunction
Adult:
For Use as Needed
The recommended starting dose of Tadalafil for use as needed in most patients is 10 mg, taken prior to anticipated sexual activity.
The dose may be increased to 20 mg or decreased to 5 mg, based on individual efficacy and tolerability. The maximum recommended dosing frequency is once per day in most patients.
For Once Daily Use
The recommended starting dose of Tadalafil for once daily use is 2.5 mg, taken at approximately the same time every day, without regard to timing of sexual activity.
The IntimateTM dose for once daily use may be increased to 5 mg, based on individual efficacy and tolerability.
Benign Prostatic Hyperplasia
Treatment of signs and symptoms of benign prostatic hyperplasia (BPH); daily use also indicated for treatment of patients with both BPH and erectile dysfunction
BPH: 5 mg PO once daily
BPH with erectile dysfunction: 5 mg PO once daily, taken at approximately same time each day without regard to timing of sexual activity
With finasteride for BPH: tadalafil 5 mg plus finasteride 5 mg PO once daily for <26 weeks
Pulmonary Arterial Hypertension
40 mg PO once daily; dividing dose for more frequent dosing is not recommended
Patients also taking ritonavir: 20 mg PO once daily initially for >1 week; may be increased to 40 mg/day on basis of tolerability
Hepatic impairment (erectile dysfunction)
Mild-to-moderate (Child-Pugh class A or B): Not to exceed 10 mg PO once daily
Severe (Child-Pugh class C): Not recommended
Hepatic impairment (pulmonary arterial hypertension)
Mild-to-moderate (Child-Pugh class A or B): Consider starting dosage of 20 mg PO once daily
Severe (Child-Pugh class C): Avoid use
Renal Dose
Renal impairment (erectile dysfunction)
Mild (CrCl >51 mL/min): No dosage adjustment needed
Moderate (CrCl 30-50 mL/min): Not to exceed 5 mg PO once daily initially; maximum dosage, 10 mg PO q48hr
Severe (CrCl <30 mL/min and on hemodialysis): Not to exceed 5 mg PO q72hr
Renal impairment (pulmonary arterial hypertension)
Mild-to-moderate (CrCl 31-80 mL/min): 20 mg PO once daily initially; may be increased to 40 mg once daily on basis of tolerability
Severe (CrCl <30 mL/min and on hemodialysis): Avoid use
Contraindication
Concurrent use of organic nitrates, nitrates and nitric oxide donors. Men with cardiac disease for whom sexual activity is inadvisable. Recent MI (within 90 days) or stroke (within last 6 mth), hypotension (<90/50 mm Hg), unstable angina, heart failure, uncontrolled arrhythmias or hypertension.
Mode of Action
Tadalafil is a phosphodiesterase type-5 inhibitor.
Precaution
Use caution in patients with anatomic deformation of penis, cardiovascular disease, left ventricular outflow obstruction, myocardial infarction in preceding 90 days, unstable angina, angina occurring during sexual intercourse, NYHA class 2 or greater heart failure in preceding 6 months, uncontrolled arrhythmias, hypotension, uncontrolled hypertension, cerebrovascular accident in preceding 6 months, bleeding disorders, active peptic ulcer disease, liver disease, renal impairment, conditions predisposing to priapism, concomitant use of CYP3A4 inhibitors
Hepatic or renal impairment; CV diseases; anatomical penile deformation; predisposition to priapism; child <18 yr. Discontinue and seek medical advice if there is sudden vision loss or decreased vision in one or both eyes or tinnitus, dizziness or sudden loss or decrease in hearing, while taking Tadalafil. Seek immediate medical advice if erection last > 4 hr.
Side Effect
>10%
Headache (11-42%),Myalgia (1-14%),Respiratory tract infection (3-13%),Nasopharyngitis (2-13%),Dyspepsia (1-13%),Flushing (1-13%),Back pain (2-12%),Nausea (10-11%)
1-10%
Nasal congestion (<9%),Gastroesophageal reflux disease (1-3%),Hypertension (1-3%),Bronchitis (<2%),Genitourinary tract infection (<2%)
<1%
Amnesia,Angina pectoris,Arthralgia,Change in color vision,Conjunctival hyperemia,Dyspnea,Epistaxis
Potentially Fatal: Stevens-Johnson syndrome, exfoliative dermatitis, severe cardiovascular events e.g. MI, stroke, sudden cardiac death;
Interaction
Concurrent use increased risk of hypotension with beta-blockers; increased risk of priapism with other drugs for erectile dysfunction, e.g. alprostadil; increased heart rate with theophylline; decreased tadalafil serum concentration with CYP 3A4 inducers e.g. rifampicin, efavirenz, carbamazepine, nevirapine, barbiturates, phenobarbital, phenytoin, ribabutin; increased tadalafil serum concentration with CYP3A4 inhibitors e.g. azole antifungals, protease inhibitors, cimetidine, macrolides.
Potentially Fatal: Enhanced hypotensive effect with nitrates and nicorandil.
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Disclaimer
The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts.