دواعي استعمال ريسباتيو 20مجم 20 قرص
معلومات من نشرات دوائية ومراجع موثقة، مع مصدر كل معلومة. السعر الحالي: 94ج.م.
عن الدواء
Sildenafil 20 mg film-coated tablets, pack of 20 (2 strips), marketed in Egypt by Marcyrl / Pharma Right Group.
دواعي الاستعمال
- Treatment of pulmonary arterial hypertension (WHO Group I) in adults to improve exercise ability and delay clinical worseningالفئة: AdultsDailyMed (U.S. National Library of Medicine)
- Treatment of PAH (WHO Group I) in pediatric patients 1 to 17 years oldالفئة: Pediatric 1-17 yearsDailyMed (U.S. National Library of Medicine)
الآثار الجانبية
- Adults: headache, dyspepsia, flushing, pain in limb, myalgia, back pain and diarrhoea.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
موانع الاستعمال
- Concomitant use of organic nitrates in any form (risk of hypotension).نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Concomitant use of riociguat.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Known hypersensitivity to sildenafil or any product component.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
تحذيرات واحتياطات
- Vasodilatory effect with mild transient blood pressure decrease; consider patients on antihypertensives, with resting hypotension, fluid depletion, LV outflow obstruction or autonomic dysfunction.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Not recommended in pulmonary veno-occlusive disease; consider PVOD if pulmonary oedema occurs.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Label also warns of vision loss, hearing loss and priapism.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
التداخلات الدوائية
- NitratesConcomitant use contraindicated.DailyMed (U.S. National Library of Medicine)
- Strong CYP3A inhibitorsConcomitant use not recommended.DailyMed (U.S. National Library of Medicine)
- Moderate-to-strong CYP3A inducers (e.g. bosentan)Decrease sildenafil exposure; dose up-titration may be needed.DailyMed (U.S. National Library of Medicine)
الحمل والرضاعة
- Limited published data do not report a clear association of sildenafil with major birth defects, miscarriage or adverse maternal/fetal outcomes; untreated PAH carries maternal and fetal risk.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
- Sildenafil and its active metabolite have been found in human milk (case report); insufficient information on effects on the breastfed infant.نشرة دولية لنفس التركيبة · DailyMed (U.S. National Library of Medicine)
كيف يعمل الدواء
- Inhibits cGMP-specific PDE-5, increasing cGMP in vascular smooth muscle and causing relaxation/vasodilation (pulmonary vascular bed per the US Revatio label).
المصادر
- السعر: قوائم أسعار الأدوية المنشورة في مصر.
- DailyMed (U.S. National Library of Medicine)
- WHO Collaborating Centre for Drug Statistics Methodology