Vardamate 20 Tablet 10's pack

✔️ Uses of Vardamate 20 Tablet

Treatment of Erectile Dysfunction.

✔️ How does Vardamate 20 Tablet work?

Vardenafil 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. It helps to get an erection only if the person is sexually stimulated.

✔️ Side Effects of Vardamate 20 Tablet

Headache, Flushing (sense of warmth in the face, ears, neck, and trunk), Dizziness, Back pain, Nausea, Nasal congestion (stuffy nose), Dyspepsia, Sinus inflammation, Flu-like symptoms, Increased creatine level in blood

✔️ Quick Suggestions:

• Vardenafil enhances erectile function by increasing cGMP levels in response to sexual stimulation.
• The medication is effective only with sexual stimulation, as this initiates the nitric oxide release necessary for the cGMP pathway.
• The specificity of vardenafil for PDE5 ensures targeted action on erectile function with minimal effects on other phosphodiesterase.
• Exercise and maintain a healthy weight.
• Stop smoking.
• Avoid alcohol and substance abuse.
• Keep diabetes under control.

✔️ Indications:

Vardenafil works by blocking the effects of certain enzymes (PDE5) which limits blood flow to the penis.

✔️ Pharmacology

• Selective PDE5 Inhibition: Vardenafil is a selective phosphodiesterase type 5 (PDE5) inhibitor, which specifically targets cyclic guanosine monophosphate (cGMP).
• Erection Mechanism: Penile erection is a hemodynamic process initiated by the relaxation of smooth muscles in the corpus cavernosum and its arterioles.
• Nitric Oxide and cGMP Synthesis: During sexual arousal, nitric oxide is released in the corpus cavernosum, activating guanylate cyclase and increasing cGMP synthesis in smooth muscle cells.
• Smooth Muscle Relaxation: Increased cGMP leads to the relaxation of smooth muscles, allowing more blood flow into the penis, resulting in an erection.
• Role of PDE5 Inhibition: By inhibiting PDE5, vardenafil increases cGMP levels, thereby improving erectile function. However, sexual stimulation is necessary for the local release of nitric oxide, meaning PDE5 inhibition alone does not induce an erection without sexual arousal.

✔️ Dosage & Administration:

Recommended Starting Dose:

• Standard Dose: 10 mg once daily, taken orally about 60 minutes before sexual activity.
• Dose Adjustment: The dose can be increased to a maximum of 20 mg or decreased to 5 mg based on efficacy and side effects.
• Frequency: Maximum recommended dosing frequency is once per day.
• Food: Vardenafil can be taken with or without food.

Special Populations:

Geriatrics:

• Starting Dose: 5 mg should be considered for patients >65 years of age.

Renal Impairment:

• Dose Adjustment: No dose adjustment is required for patients with renal impairment.

Hepatic Impairment:

• Moderate Hepatic Impairment:
  • Starting Dose: 5 mg is recommended.
  • Maximum Dose: Should not exceed 10 mg.
• Severe Hepatic Impairment:
  • Use: Vardenafil should not be used in patients with severe hepatic impairment.

✔️ Interaction

Antihypertensive Drugs:

• Effect: Vardenafil may enhance the antihypertensive effects of these drugs.
• Clinical Studies: A single dose of vardenafil 20 mg reduced blood pressure by an average of 7 mmHg systolic and 8 mmHg diastolic.
• Caution: Advised when co-administered with other vasodilators, including alpha-blockers.

CYP3A4 Inhibitors:

• Examples: Ketoconazole, indinavir, ritonavir, and erythromycin.
• Effect: These inhibitors may decrease the excretion of vardenafil from the body, potentially increasing its effects and side effects.

✔️ Contraindications

• Vardenafil can potentiate the hypotensive effect of nitrates.
• Contraindicated with regular or intermittent nitrates and nitric oxide donors.
• Contraindicated in patients with hypersensitivity to vardenafil or any of its ingredients.

✔️ Pregnancy & Lactation

Vardenafil is not indicated for women.

✔️ Precautions & Warnings

Physicians should consider the cardiovascular status of their patients, as there is a certain degree of cardiac risk associated with sexual activity. In men who are discouraged from being sexually active due to their underlying cardiovascular condition, vardenafil should generally not be used.

✔️ Storage Conditions:

Store at room temperature and protect from light and moisture. Keep out of the reach of children.