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revatio

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Indication1 top
Treatment of pulmonary arterial hypertension classified as World Health Organization (WHO) functional class III to improve exercise capacity.
 
Clinical Evidence top
  • Improves exercise capacity, WHO functional class and haemodynamics in patients with symptomatic pulmonary arterial hypertension2
      - The distance walked in 6 minutes increased from baseline in all sildenafil groups after 12 weeks; the mean placebo-corrected treatment effects were 45 m (+13.0%), 46 m (+13.3%), and 50 m (+14.7%) for 20, 40 and 80 mg of sildenafil, respectively (p<0.001 for all comparisons)

fast Onset & Long Lasting
 
Safety Profile1 top
CI: Known hypersensitivity to any component of the tablet. Sildenafil was shown to potentiate the hypotensive effects of nitrates, and its administration to patients who are using organic nitrates, either regularly and/or intermittently, in any form is therefore contraindicated.

   
SP: Patient at risk of non-arteritic anterior ischaemic optic neuropathy (NAION); known hereditary degenerative retinal disorders, eg, retinitis pigmentosa; hypotension; fluid depletion; severe left ventricular outflow obstruction or autonomic dysfunction; anatomical deformation of the penis; with conditions which may predispose patients to priapism; bleeding disorders or active peptic ulceration. Hereditary problems of galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption. Children and adolescents <18 years.

   
AR: Very common/common Headache, flushing, dyspepsia, back pain, diarrhoea, limb pain, myalgia, cough, epistaxis, insomnia, pyrexia.

   
DI: β-blockers, ketoconazole, itraconazole, ritonavir, bosentan, carbamazepine, phenytoin, phenobarbital, St John's wort, rifampicin, cimetidine, grapefruit juice, nicorandil, α-blockers, eg, doxazosin, nitric oxide donors or nitrates in any form.

Dosages1 top
Adults ≥18 years 20 mg three times daily. Renal (creatinine clearance <30 mL/min)/hepatic impairment Downward dose adjustment to 20 mg twice daily.

Strengths1 top
20 mg.

Packing1 top
20 mg x 90’s.

References top
1. Revatio full prescribing information. Hong Kong. November 2007.
2. Galiè N, et al. N Engl J Med 2005;353:2148-2157.
 

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