Immense

Immense25mg

Type:Tablet

Generic Name:Sildenafil

Manufacturer:Biopharma Ltd.

Price:18.00

Ad

Indication

Erectile dysfunction, Pulmonary arterial hypertension

Administration

May be taken with or without food.

Adult Dose

Oral Erectile dysfunction Adult: 50 mg about 1 hr before sexual intercourse. May adjust dose depending on penile response. Max: 100 mg/dose and not to be taken > once in 24 hr. Elderly: >65 yr: Lower initial dose at 25 mg. Hepatic impairment: Initially, 25 mg. Pulmonary Arterial Hypertension 20 mg 3 times daily, administered 4-6 hours apart

Renal Dose

Renal impairment: CrCl (ml/min) Dosage Recommendation <30 Initially, 25 mg.

Contraindication

Hypersensitivity. Patients concurrently or intermittently using organic nitrates in any form.

Mode of Action

Sildenafil inhibits phosphodiesterase type-5 (PDE5) which is responsible for cGMP degradation in the corpus cavernosum. Inhibition of PDE5 increases cGMP levels in the corpus cavernosum which results in smooth muscle relaxation and inflow of blood to the corpus cavernosum.

Precaution

Caution when used in patients with anatomical deformation of penis or conditions that may predispose them to priapism (e.g. sickle cell anaemia, myeloma, or leukaemia). Mild, transient, dose-related impairment of colour discrimination (blue/green) may occur. Hepatic or severe renal impairment, bleeding disorders, active peptic ulceration, hypotension, recent history of stroke, MI, arrhythmias, unstable angina, heart failure or retinal disorders. May cause sudden loss or decrease in hearing.

Side Effect

>10% Headache (7-16%) 1-10% Flushing (4-10%),Epistaxis (8%),Dyspepsia (4-8%),Insomnia (6%),Erythema (5%),Diarrhea (4%),Dizziness (2%),Skin rash (2%)

Interaction

Inhibitors of CYP3A4 such as cimetidine and erythromycin are likely to reduce sildenafil clearance. CYP3A4 inducers such as rifampicin may decrease the plasma concentrations of sildenafil. Symptomatic hypotension when used with beta-blockers. Plasma concentrations are increased by ritonavir. Potentially Fatal: May potentiate hypotensive effects of of organic nitrates and nicorandil.

Alternative brand of Immense

Aggra 50Aggra 50

  • 50mg
  • Tablet
  • Sildenafil

Price: ৳120.00

Eskayef Pharmaceuticals Ltd.

Aggra 100Aggra 100

  • 100mg
  • Tablet
  • Sildenafil

Price: ৳200.00

Eskayef Pharmaceuticals Ltd.

Peak 50Peak 50

  • 50mg
  • Tablet
  • Sildenafil

Price: ৳30.09

General Pharmaceuticals Ltd.

PerformaxPerformax

  • 100mg
  • Tablet
  • Sildenafil

Price: ৳200.00

Renata Limited

Edegra 100Edegra 100

  • 100mg
  • Tablet
  • Sildenafil

Price: ৳200.60

Sun Pharmaceutical (Bangladesh) Ltd.

SB-SildSB-Sild

  • 100mg
  • Tablet
  • Sildenafil

Price: ৳50.00

Sunman-Birdem Pharma Ltd.

V-GraV-Gra

  • 25mg
  • Tablet
  • Sildenafil

Price: ৳16.00

Aristopharma Limited

DanafilDanafil

  • 100mg
  • Tablet
  • Sildenafil

Price: ৳50.00

NIPRO JMI Pharma Limited

EnjofilEnjofil

  • 25mg
  • Tablet
  • Sildenafil

Price: ৳15.05

Navana Pharmaceuticals Ltd.

EnjofilEnjofil

  • 50mg
  • Tablet
  • Sildenafil

Price: ৳30.10

Navana Pharmaceuticals Ltd.

PerformaxPerformax

  • 50mg
  • Tablet
  • Sildenafil

Price: ৳120.00

Renata Limited

EnjofilEnjofil

  • 100mg
  • Tablet
  • Sildenafil

Price: ৳50.15

Navana Pharmaceuticals Ltd.

Charm 50Charm 50

  • 50mg
  • Tablet
  • Sildenafil

Price: ৳120.40

Drug International Ltd.

2525

  • 25mg
  • Tablet
  • Sildenafil

Price: ৳20.00

Immense 50Immense 50

  • 50mg
  • Tablet
  • Sildenafil

Price: ৳100.00

Biopharma Ltd.

SB-Sild 50SB-Sild 50

  • 50mg
  • Tablet
  • Sildenafil

Price: ৳30.00

Sunman-Birdem Pharma Ltd.

Activa 100Activa 100

  • 100mg
  • Tablet
  • Sildenafil

Price: ৳160.00

Pacific Pharmaceuticals Ltd.

Enigma 50Enigma 50

  • 50mg
  • Tablet
  • Sildenafil

Price: ৳33.00

Healthcare Pharmaceuticals Ltd.

KX-50KX-50

  • 50mg
  • Tablet
  • Sildenafil

Price: ৳30.09

Kemiko Pharmaceuticals Ltd.

KamagraKamagra

  • 100mg
  • Tablet
  • Sildenafil

Price: ৳50.15

Leon Pharmaceuticals Ltd.