Vardena
Generic Name
Vardenafil
Manufacturer
Generic Pharma Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
Variant | Unit Price | Strip Price |
---|---|---|
vardena 20 mg tablet | ৳ 58.00 | ৳ 232.00 |
Description
Overview of the medicine
Vardena 20 mg Tablet contains Vardenafil, a phosphodiesterase-5 (PDE5) inhibitor, used for the treatment of erectile dysfunction (impotence) in men.
Uses & Indications
Dosage
Adults
The usual recommended dose is 10 mg taken orally approximately 25 to 60 minutes before sexual activity. If 10 mg is not effective, the dose may be increased to 20 mg. For Vardena 20 mg tablet, patients should follow their doctor's advice, which may involve taking the full 20 mg or a half (10 mg) depending on individual needs. Maximum one dose per 24 hours.
Elderly
A starting dose of 5 mg is recommended for elderly patients (≥65 years).
Renal_impairment
No dosage adjustment is needed for mild to moderate renal impairment. Not studied in severe renal impairment.
How to Take
Take orally with or without food, approximately 25 to 60 minutes before sexual activity. Do not exceed one dose per day.
Mechanism of Action
Vardenafil inhibits phosphodiesterase-5 (PDE5), an enzyme responsible for the degradation of cyclic guanosine monophosphate (cGMP) in the corpus cavernosum. By inhibiting PDE5, Vardenafil increases cGMP levels, leading to smooth muscle relaxation and increased blood flow into the penis, resulting in an erection in response to sexual stimulation.
Pharmacokinetics
Onset
Within 15-30 minutes
Excretion
Mainly via feces (91-95%) and to a lesser extent urine (2-6%).
Half life
Approximately 4-5 hours
Absorption
Rapidly absorbed. Absolute bioavailability is approximately 15%.
Metabolism
Primarily hepatic, via CYP3A4, with some CYP3A5 and CYP2C9 contribution.
Side Effects
Contraindications
- Concomitant use with nitrates or nitric oxide donors.
- Hypersensitivity to vardenafil or any component of the tablet.
- Patients with severe cardiovascular disease, recent stroke or myocardial infarction.
- Concomitant use with guanylate cyclase stimulators, such as riociguat.
Drug Interactions
Nitrates
Potentiation of hypotensive effects, potentially life-threatening. Absolutely contraindicated.
Riociguat
Contraindicated due to risk of symptomatic hypotension.
Alpha-blockers
May lead to symptomatic hypotension, especially with initial co-administration.
CYP3A4 inhibitors
Increase vardenafil plasma levels, increasing risk of side effects.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.
Overdose
Symptoms include severe back pain, muscle pain, visual disturbances. Management is supportive, as vardenafil is highly protein-bound and not expected to be dialyzable.
Pregnancy & Lactation
Not indicated for use in women. No data available on use during pregnancy or lactation.
Side Effects
Contraindications
- Concomitant use with nitrates or nitric oxide donors.
- Hypersensitivity to vardenafil or any component of the tablet.
- Patients with severe cardiovascular disease, recent stroke or myocardial infarction.
- Concomitant use with guanylate cyclase stimulators, such as riociguat.
Drug Interactions
Nitrates
Potentiation of hypotensive effects, potentially life-threatening. Absolutely contraindicated.
Riociguat
Contraindicated due to risk of symptomatic hypotension.
Alpha-blockers
May lead to symptomatic hypotension, especially with initial co-administration.
CYP3A4 inhibitors
Increase vardenafil plasma levels, increasing risk of side effects.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.
Overdose
Symptoms include severe back pain, muscle pain, visual disturbances. Management is supportive, as vardenafil is highly protein-bound and not expected to be dialyzable.
Pregnancy & Lactation
Not indicated for use in women. No data available on use during pregnancy or lactation.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 2-3 years from manufacturing date.
Availability
Pharmacies
Approval Status
Approved by relevant authorities
Patent Status
Generic versions available
Clinical Trials
Extensive clinical trials have demonstrated Vardenafil's efficacy and safety for ED, showing significant improvement in erectile function compared to placebo.
Lab Monitoring
- No specific routine lab monitoring required for Vardenafil use.
Doctor Notes
- Emphasize patient selection, rule out cardiovascular risks before prescribing.
- Advise patients on nitrate contraindication and potential for alpha-blocker interaction.
Patient Guidelines
- Take only as prescribed by your doctor.
- Do not take with nitrates or recreational drugs containing nitrates.
- Seek immediate medical attention for an erection lasting longer than 4 hours (priapism).
- Inform your doctor about all other medications you are taking.
Missed Dose Advice
Vardena is taken as needed, so a missed dose is not applicable. Do not take more than one dose per day.
Driving Precautions
May cause dizziness or visual disturbances. Patients should be aware of how they react to Vardena before driving or operating machinery.
Lifestyle Advice
- Maintain a healthy lifestyle, including regular exercise and a balanced diet.
- Limit alcohol intake, as it can worsen ED and increase side effects.
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Global Brand Names
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