natgillin/translations-raw huggingface dataset:
In pups of rats which were pre- and postnatally treated with 60 mg/kg sildenafil, a decreased litter size, a lower pup weight on day 1 and a decreased 4-day survival were seen at exposures which were approximately fifty times the expected human exposure at 20 mg three times a day.
U mladunčadi štakora koji su prije i nakon okota primali 60 mg/kg sildenafila opaženi su smanjena veličina legla, manja težina mladunaca 1. dana te smanjeno 4-dnevno preživljenje, pri razinama izloženosti koje su bile približno 50 puta veće od očekivane izloženosti u ljudi pri dozi od 20 mg tri puta na dan.
Treatment of adult patients with pulmonary arterial hypertension classified as WHO functional class II and III, to improve exercise capacity.
Liječenje odraslih bolesnika s plućnom arterijskom hipertenzijom (PAH) funkcionalnog stupnja II i III prema klasifikaciji Svjetske zdravstvene organizacije (SZO), a u cilju poboljšanja tjelesne sposobnosti.
23 subjects experienced clinical worsening events in the placebo group (17.6%) compared with 8 subjects in the sildenafil group (6.0%).
U skupini koja je primala placebo epizode kliničkog pogoršanja doživjela su 23 ispitanika (17,6%), u usporedbi s 8 ispitanika u skupini liječenoj sildenafilom (6,0%).
Wessling Hungary Kft. Foti ut 56
Wessling Hungary Kft.
Grapefruit juice is a weak inhibitor of CYP3A4 gut wall metabolism and may give rise to modest increases in plasma levels of sildenafil.
Sok od grejpa je slab inhibitor CYP3A4 u stijenci crijeva i može izazvati malo povećanje plazmatskih koncentracija sildenafila.
These medicines are often given for relief of angina pectoris or “chest pain” (see section 2.
Ti se lijekovi često daju za ublažavanje angine pectoris, odnosno "boli u prsima" (vidjeti dio 2.
Table 2: Placebo Corrected % Change from Baseline in Peak VO2 by Active Treatment Group
Tablica 2: Za placebo korigirana postotna (%) promjena vršnog VO2 u odnosu na početne vrijednosti po aktivno liječenim skupinama
The corresponding additional reduction in supine diastolic blood pressure was 7 mmHg.
Odgovarajuće dodatno sniženje dijastoličkog krvnog tlaka u ležećem položaju iznosilo je 7 mmHg.
- if you have ever had loss of vision because of a problem with blood flow to the nerve in the eye called non-arteritic anterior ischaemic optic neuropathy (NAION).
- ako ste ikada doživjeli gubitak vida zbog problema s dotokom krvi u očni živac - stanja koje se zove nearterijska prednja ishemijska neuropatija vidnog živca.
Due to lack of data, Granpidam should not be used in pregnant women unless strictly necessary.
Zbog nedostatnih podataka Granpidam se ne smije primjenjivati u trudnica, osim ako to nije izričito potrebno.
Doses up to 80 mg three times a day (4 times the recommended dose of 20 mg three times a day) were administered and after 3 years 87% of 183 patients on study treatment were receiving sildenafil 80 mg TID.
Primjenjivale su se doze do 80 mg tri puta na dan (4 puta više od preporučene doze od 20 mg tri puta na dan), a nakon 3 godine je 87% od 183 bolesnika liječenih ispitivanim lijekom primalo sildenafil u dozi od 80 mg TID.
CYP3A4 inhibitors like clarithromycin, telithromycin and nefazodone are expected to have an effect in between that of ritonavir and CYP3A4 inhibitors like saquinavir or erythromycin, a seven-fold increase in exposure is assumed.
Očekuje se da će učinak inhibitora CYP3A4 kao što su klaritromicin, telitromicin i nefazodon biti između učinka ritonavira i učinka inhibitora CYP3A4 poput sakvinavira ili eritromicina; pretpostavlja se da će izloženost sedmerostruko porasti.
At single doses of 200 mg the incidence of adverse reactions (headache, flushing, dizziness, dyspepsia, nasal congestion, and altered vision) was increased.
Kod primjene pojedinačnih doza od 200 mg povećala se incidencija nuspojava (glavobolja, navale crvenila, omaglica, dispepsija, kongestija nosa i promjene vida).
Bleeding disorders
Poremećaji krvarenja
In patients with pulmonary arterial hypertension this can lead to vasodilation of the pulmonary vascular bed and, to a lesser degree, vasodilatation in the systemic circulation.
U bolesnika s plućnom arterijskom hipertenzijom to može dovesti do vazodilatacije plućnih krvnih žila te, u manjoj mjeri, do vazodilatacije u sistemskom krvotoku.
In healthy male volunteers, there was no evidence of an effect of azithromycin (500 mg daily for 3 days) on the AUC, Cmax, Tmax, elimination rate constant, or subsequent half-life of sildenafil or its principal circulating metabolite.
Za preporuke o doziranju vidjeti dio 4.2. U zdravih muških dobrovoljaca nije bilo dokaza o utjecaju azitromicina (500 mg na dan tijekom 3 dana) na AUC, Cmax, Tmax, konstantu brzine eliminacije niti kasniji poluvijek sildenafila ili njegovog glavnog metabolita u cirkulaciji.
Suddenly stopping your treatment with Granpidam may lead to your symptoms getting worse.
Nagli prekid liječenja lijekom Granpidam može dovesti do pogoršanja simptoma.
Combined dose groups (n=77)
Skupine s kombiniranim dozama (n = 77)
Combination with the most potent of the CYP3A4 inhibitors (e.g. ketoconazole, itraconazole, ritonavir) (see section 4.5).
Kombinacija s najsnažnijim inhibitorima CYP3A4 (npr. ketokonazolom, itrakonazolom, ritonavirom) (vidjeti dio 4.5).
The estimated difference between the medium sildenafil dose and placebo was 11.33% (95% CI: 1.72 to 20.94) (see Table 2).
Procijenjena razlika između srednje doze sildenafila i placeba iznosila je 11,33% (95% CI: 1,72 do 20,94) (vidjeti Tablicu 2).
Co-administration of oral sildenafil and intravenous epoprostenol has been evaluated (see sections 4.8 and 5.1).
Procijenjeno je istovremeno liječenje peroralnim sildenafilom i intravenski primijenjenim epoprostenolom (vidjeti dijelove 4.8 i 5.1).
Psychiatric disorders Common insomnia, anxiety
Psihijatrijski poremećaji često nesanica, anksioznost
A downward dose adjustment to 20 mg twice daily should be considered when sildenafil is co-administered to patients already receiving CYP3A4 inhibitors like erythromycin or saquinavir.
Treba se razmotriti snižavanje doze na 20 mg dva puta na dan kada se sildenafil istovremeno primjenjuje u bolesnika koji već primaju inhibitore CYP3A4 poput eritromicina ili sakvinavira.
How to take Granpidam
Kako uzimati Granpidam
Pack size of 300 tablets in a carton.
Veličina pakiranja: 300 tableta u kutiji.
In pulmonary arterial hypertension patients, the oral bioavailability of sildenafil after 80 mg three times a day was on average 43% (90% CI: 27%-60%) higher compared to the lower doses.
U bolesnika s plućnom arterijskom hipertenzijom je bioraspoloživost sildenafila nakon peroralne primjene doze od 80 mg tri puta na dan bila u prosjeku 43% (90% CI: 27% - 60%) veća u usporedbi s nižim dozama.
Adverse reactions reported in >10% of 229 subjects treated with sildenafil (combined dose group, including 9 patients that did not continue into the long-term study) were upper respiratory infection (31%), headache (26%), vomiting (22%), bronchitis (20%), pharyngitis (18%), pyrexia (17%), diarrhoea (15%), and influenza, epistaxis (12% each).
Nuspojave prijavljene u >10% od 229 ispitanika liječenih sildenafilom (skupina koja je primala kombiniranu dozu, uključujući 9 bolesnika koji nisu nastavili u dugotrajnom ispitivanju) bile su infekcija gornjih dišnih puteva (31%), glavobolja (26%), povraćanje (22%), bronhitis (20%), faringitis (18%), pireksija (17%), proljev (15%) te gripa i epistaksa (12% svaka).
For the use of sildenafil with the most potent CYP3A4 inhibitors, see section 4.3.
Za informacije o primjeni sildenafila s najsnažnijim inhibitorima CYP3A4, vidjeti dio 4.3.
A statistically significant increase in 6MWD was observed in all 3 sildenafil dose groups compared to those on placebo.
Statistički značajno povećanje 6MWD-a zabilježeno je u svim trima skupinama koje su primale različite doze sildenafila u odnosu na skupinu koja je primala placebo.
The difference in results between these randomisation subgroups may have arisen by chance in view of their limited sample size.
S obzirom na mali uzorak, razlika u rezultatima između ovih randomizacijskih podskupina mogla je nastati slučajno.
There were no adverse reactions, with possible relevance to clinical use, seen in animals at clinically relevant exposure levels which were not also observed in clinical studies.
Pri klinički relevantnim razinama izloženosti, u životinja nisu zabilježene nuspojave koje bi mogle biti značajne za kliničku primjenu, a koje nisu opažene i u kliničkim ispitivanjima.
The overall frequency of discontinuations in sildenafil/epoprostenol treated patients due to adverse events was 5.2% compared to 10.7% in the placebo/epoprostenol treated patients.
Ukupna učestalost prekida liječenja zbog nuspojava iznosila je 5,2% u bolesnika liječenih sildenafilom/epoprostenolom, u odnosu na 10,7% u bolesnika koji su primali placebo/epoprostenol.
In the placebo-controlled study of sildenafil in patients 1 to 17 years of age with pulmonary arterial hypertension, a total of 174 patients were treated three times a day with either low (10 mg in patients >20 kg; no patients ≤20 kg received the low dose), medium (10 mg in patients ≥8-20 kg; 20 mg in patients ≥20-45 kg; 40 mg in patients >45 kg) or high dose (20 mg in patients ≥8-20 kg; 40 mg in patients ≥20-45 kg; 80 mg in patients >45 kg) regimens of sildenafil and 60 were treated with placebo.
U placebom kontroliranom ispitivanju sildenafila u bolesnika u dobi od 1 do 17 godina s plućnom arterijskom hipertenzijom ukupno su 174 bolesnika tri puta na dan primala nisku (10 mg u bolesnika tjelesne težine > 20 kg; niti jedan bolesnik tjelesne težine ≤ 20 kg nije primao nisku dozu), srednju(10 mg u bolesnika tjelesne težine ≥ 8-20 kg, 20 mg u bolesnika tjelesne težine ≥ 20-45 kg, 40 mg u bolesnika tjelesne težine > 45 kg) ili visoku dozu (20 mg u bolesnika tjelesne težine ≥ 8-20 kg, 40 mg u bolesnika tjelesne težine ≥ 20-45 kg; 80 mg u bolesnika tjelesne težine > 45 kg) sildenafila, dok je 60 bolesnika primalo placebo.
You should tell your doctor if you have kidney or liver problems, as your dose may need to be adjusted.
Posebna upozorenja za bolesnike s tegobama bubrega ili jetre Trebate obavijestiti svog liječnika ako imate tegoba s bubrezima ili jetrom jer će Vam možda trebati prilagoditi dozu lijeka.
A total of 134 patients were treated with sildenafil in the initial study, and their long term survival status was assessed for a minimum of 3 years.
U inicijalnom su ispitivanju sildenafilom liječena ukupno 134 bolesnika te je praćeno njihovo dugoročno preživljenje tijekom najmanje 3 godine.
Granpidam 20 mg film-coated tablets are also provided in PVC/Alu perforated unit dose blister packs containing 15x1, 90x1 and 300x1 tablets.
Granpidam 20 mg filmom obložene tablete su također dostupni u PVC / Alu perforiranim blisterima djeljivim na jedinične doze koji sadrže 15x1, 90x1 i 300x1 tableta.
Of the 277 subjects treated in the pivotal study, 259 entered a long-term extension study.
Od 277 ispitanika liječenih u pivotalnom ispitivanju, njih je 259 ušlo u dugotrajan produžetak ispitivanja.
Newly reported adverse reactions, which occurred more frequently in the sildenafil/ epoprostenol group, were ocular hyperaemia, vision blurred, nasal congestion, night sweats, back pain and dry mouth.
Novoprijavljene nuspojave koje su se javljale češće u skupini liječenoj sildenafilom/epoprostenolom bile su okularna hiperemija, zamagljen vid, kongestija nosa, noćno znojenje, bol u leđima i suha usta.
In these study populations, mean additional reductions of supine systolic and diastolic blood pressure of 7/7 mmHg, 9/5 mmHg, and 8/4 mmHg, respectively, and mean additional reductions of standing blood pressure of 6/6 mmHg, 11/4 mmHg, and 4/5 mmHg, respectively were observed.
U populacijama bolesnika u ta tri ispitivanja zabilježeno je srednja vrijednost dodatnog sniženja sistoličkog i dijastoličkog krvnog tlaka u ležećem položaju od 7/7 mmHg, 9/5 mmHg, odnosno 8/4 mmHg te srednja vrijednost dodatnog sniženja krvnog tlaka u stojećem položaju od 6/6 mmHg, 11/4 mmHg, odnosno 4/5 mmHg.
Sildenafil (100 mg single dose) did not affect the steady state pharmacokinetics of the HIV protease inhibitor saquinavir, which is a CYP3A4 substrate/inhibitor.
Sildenafil (jedna doza od 100 mg) nije utjecao na farmakokinetiku inhibitora HIV proteaze sakvinavira, koji je supstrat/inhibitor CYP3A4, u stanju dinamičke ravnoteže.
Consequently, should signs of pulmonary oedema occur when sildenafil is administered in patients with pulmonary hypertension, the possibility of associated veno-occlusive disease should be considered.
Stoga, pojave li se znakovi plućnog edema kod primjene sildenafila u bolesnika s plućnom hipertenzijom, potrebno je uzeti u obzir moguću povezanost s vensko-okluzivnom bolesti.
Among these 37 deaths, the number (%) of deaths was 5/55 (9.1%), 10/74 (13.5%), and 22/100 (22%) in the sildenafil low, medium, and high dose groups, respectively.
Od tih 37 smrtnih slučajeva, broj (%) smrtnih slučajeva bio je 5/55 (9,1%) u skupini s niskom, 10/74 (13,5%) u skupini sa srednjom i 22/100 (22%) u skupini s visokom dozom sildenafila.
CYP3A4 inducers seemed to have a substantial impact on the pharmacokinetics of sildenafil in pulmonary arterial hypertension patients, which was confirmed in the in vivo interaction study with CYP3A4 inducer bosentan.
Činilo se da induktori CYP3A4 značajno utječu na farmakokinetiku sildenafila u bolesnika s plućnom arterijskom hipertenzijom, što je potvrđeno u in vivo ispitivanju interakcije s induktorom CYP3A4 bosentanom.
Cases of non-arteritic anterior ischaemic optic neuropathy, a rare condition, have been reported spontaneously and in an observational study in connection with the intake of sildenafil and other PDE5 inhibitors (see section 4.8).
Slučajevi nearterijske prednje ishemijske optičke neuropatije, što je rijetko stanje, prijavljeni su spontano u opservacijskim ispitivanjima povezano s unosom sildenafila i drugih PDE5 inhibitora (vidjeti dio 4.8).
If you experience sudden decrease or loss of vision, stop taking Granpidam and contact your doctor immediately (see also section 4).
Ako osjetite iznenadno smanjenje ili gubitak vida, prestanite uzimati Granpidam i odmah se javite svom liječniku (pogledajte i dio 4.).
At 3 years 87% of the patients were receiving a dose of 80 mg TID.
Nakon 3 godine je 87% bolesnika primalo dozu od 80 mg TID.
After oral doses of 20 mg three times a day, the mean maximum total plasma concentration of sildenafil at steady state is approximately 113 ng/ml.
Nakon peroralnih doza od 20 mg tri puta na dan, srednja vrijednost najveće ukupne koncentracije sildenafila u plazmi u stanju dinamičke ravnoteže iznosi približno 113 ng/ml.
Patients were naïve for specific PAH therapy and the use of prostacyclin, prostacyclin analogues and endothelin receptor antagonists was not permitted in the study, and neither was arginine supplementation, nitrates, alpha-blockers and potent CYP450 3A4 inhibitors.
Bolesnici prethodno nisu primali terapiju specifičnu za PAH, a u ispitivanju nije bila dopuštena primjena prostaciklina, analoga prostaciklina i antagonista endotelinskih receptora kao ni uzimanje nadomjestaka arginina, nitrata, alfa-blokatora i snažnih inhibitora izoenzima CYP3A4 citokroma P450.
The most potent of the CYP3A4 inhibitors such as ketoconazole and itraconazole would be expected to have effects similar to ritonavir (see section 4.3).
Za očekivati je da će najsnažniji inhibitori CYP3A4, poput ketokonazola i itrakonazola, imati slične učinke kao ritonavir (vidjeti dio 4.3).
Population pharmacokinetics
Populacijska farmakokinetika
When used to treat male erectile dysfunction (ED), the following visual side effects have been reported with PDE5 inhibitors, including sildenafil at an unknown frequency; partial, sudden, temporary, or permanent decrease or loss of vision in one or both eyes.
Kod primjene inhibitora PDE5, uključujući sildenafil, u liječenju muške erektilne disfunkcije prijavljene su sljedeće očne nuspojave: djelomično, iznenadno, privremeno ili trajno smanjenje ili gubitak vida na jednom ili oba oka.
Patients who have loss of vision in one eye because of non-arteritic anterior ischaemic optic neuropathy (NAION), regardless of whether this episode was in connection or not with previous PDE5 inhibitor exposure (see section 4.4).
Bolesnici koji su izgubili vid na jednom oku zbog nearterijske prednje ishemijske optičke neuropatije, bez obzira na to je li ta epizoda povezana s prethodnim izlaganjem inhibitorima PDE5 (vidjeti dio 4.4).
At 3 years 68% of the patients were receiving a dose of 80 mg TID.
Nakon 3 godine je 68% bolesnika primalo dozu od 80 mg TID.
Studies in vitro have shown that sildenafil is selective for PDE5.
Ispitivanja in vitro su pokazala da sildenafil selektivno djeluje na enzim PDE5.
Therefore dose adjustments are recommended when using CYP3A4 inhibitors (see section 4.2).
Stoga se preporučuje prilagodba doze kod primjene inhibitora CYP3A4 (vidjeti dio 4.2).
Pack size of 90 tablets in a carton.
Veličina pakiranja: 90 tableta u kutiji.
Effects of sildenafil on other medicinal products
Učinci sildenafila na druge lijekove
For patients with a baseline walking distance ≥325 metres, the treatment effect was 38.4 metres in favour of sildenafil; for patients with a baseline walking distance <325 metres, the treatment effect was 2.3 metres in favour of placebo.
U bolesnika koji su na početku ispitivanja mogli prehodati udaljenost od ≥ 325 metara, učinak liječenja iznosio je 38,4 metra u korist sildenafila; u bolesnika koji su na početku ispitivanja mogli prehodati udaljenost od < 325 metara, učinak liječenja iznosio je 2,3 metra u korist placeba.
The percent reduction at 12 weeks for sildenafil 20 mg, 40 mg and 80 mg TID in PVR (11.2%, 12.9%, 23.3%) was proportionally greater than the reduction in systemic vascular resistance (SVR) (7.2%, 5.9%, 14.4%).
Postotno smanjenje plućnog krvožilnog otpora nakon 12 tjedana primjene sildenafila u dozama od 20 mg, 40 mg odnosno 80 mg TID (11,2%, 12,9% odnosno 23,3%) bilo je razmjerno veće od smanjenja sustavnog krvožilnog otpora (7,2%, 5,9%, odnosno 14,4%).
No data are available with sildenafil in patients with pulmonary hypertension associated with pulmonary veno-occlusive disease.
Nema podataka o primjeni sildenafila u bolesnika s plućnom hipertenzijom povezanom s plućnom vensko-okluzivnom bolesti.
Mean baseline peak volume of oxygen consumed (VO2) values were comparable across the sildenafil treatment groups (17.37 to 18.03 ml/kg/min), and slightly higher for the placebo treatment group (20.02 ml/kg/min).
Srednja vrijednost vršnog volumena potrošnje kisika (VO2) na početku ispitivanja bila je usporediva u svim skupinama liječenima sildenafilom (17,37 do 18,03 ml/kg/min), a nešto veća u skupini koja je primala placebo (20,02 ml/kg/min).
In a study of the hemodynamic effects of a single oral 100 mg dose of sildenafil in 14 patients with severe coronary artery disease (CAD) (>70% stenosis of at least one coronary artery), the mean resting systolic and diastolic blood pressures decreased by 7% and 6% respectively compared to baseline.
U ispitivanju hemodinamičkih učinaka jedne peroralne doze od 100 mg sildenafila u 14 bolesnika s teškom bolešću koronarnih arterija (stenoza > 70% u barem jednoj koronarnoj arteriji), srednja vrijednost sistoličkog krvnog tlaka u mirovanju snižena je za 7%, a dijastoličkog za 6% u odnosu na početne vrijednosti.
A randomised, double-blind, placebo-controlled study was conducted in 278 patients with primary pulmonary hypertension, PAH associated with connective tissue disease, and PAH following surgical repair of congenital heart lesions.
Randomizirano, dvostruko slijepo, placebom kontrolirano ispitivanje provedeno je u 278 bolesnika s primarnom plućnom hipertenzijom, PAH-om povezanim s bolešću vezivnog tkiva i PAH-om koji je nastao nakon kirurškog popravka urođenih srčanih lezija.
Sildenafil is a potent and selective inhibitor of cyclic guanosine monophosphate (cGMP) specific phosphodiesterase type 5 (PDE5), the enzyme that is responsible for degradation of cGMP.
Sildenafil je snažan i selektivan inhibitor fosfodiesteraze tipa 5 (PDE5) specifične za ciklički gvanozin monofosfat (cGMP).
A downward dose adjustment to 20 mg once daily is recommended in case of co-administration with more potent CYP3A4 inhibitors clarithromycin, telithromycin and nefazodone.
Preporučuje se snižavanje doze na 20 mg jedanput na dan u slučaju istovremene primjene sa snažnijim inhibitorima CYP3A4: klaritromicinom, telitromicinom i nefazodonom.
Long-term survival data in naive population
Podaci o dugoročnom preživljenju u populaciji prethodno neliječenih bolesnika
Medicinal product subject to restricted medical prescription (see Annex I: Summary of Product Characteristics, section 4.2).
Lijek se izdaje na ograničeni recept (vidjeti Prilog I.: Sažetak opisa svojstava lijeka, dio 4.2)
The most commonly reported adverse reactions that occurred (greater or equal to 10%) on sildenafil compared to placebo were headache, flushing, dyspepsia, diarrhoea and pain in extremity.
Najčešće prijavljene nuspojave koje su se javile (10% ili više) kod liječenja sildenafilom u odnosu na placebo bile su glavobolja, navale crvenila, dispepsija, proljev i bol u ekstremitetu.
The use of prostacyclin, prostacyclin analogues and endothelin receptor antagonists was not permitted as add-on therapy, and neither was arginine supplementation.
Nije bila dopuštena primjena prostaciklina, analoga prostaciklina ni antagonista endotelinskih receptora kao dodatne terapije, kao ni nadomještanje arginina.
The most common serious adverse events that occurred with a frequency ≥1% in sildenafil patients (combined doses) were pneumonia (7.4%), cardiac failure, pulmonary hypertension (each 5.2%), upper respiratory tract infection (3.1%), right ventricular failure, gastroenteritis (each 2.6%), syncope, bronchitis, bronchopneumonia, pulmonary arterial hypertension (each 2.2%), chest pain, dental caries (each 1.7%), and cardiogenic shock, gastroenteritis viral, urinary tract infection (each 1.3%).
Najčešća ozbiljna nuspojava koje se pojavila s učestalošću od ≥1% bolesnika koji su primali sildenafil (kombinirane doze) bila je pneumonija (7,4%), srčano zatajenje, plućna hipertenzija (svaki po 5,2%), infekcije gornjeg dišnog sustava (3,1%), zatajenje desnog ventrikula, gastroenteritis (svaki po 2,6%), sinkopa, bronhitis, bronhopneumonija, plućna arterijska hipertenzija (svaki 2,2%), bol u prsima, zubni karijes (svaki 1,7%) i kardiogeni šok, virusni gastroenteritis, infekcija urinarnog trakta (svaki 1,3%).
Studies with sildenafil have been performed in forms of pulmonary arterial hypertension related to primary (idiopathic), connective tissue disease associated or congenital heart disease associated forms of PAH (see section 5.1).
Ispitivanja sildenafila provedena su u sljedećim oblicima plućne arterijske hipertenzije: primarnoj (idiopatskoj), onoj povezanoj s bolešću vezivnog tkiva i onoj povezanoj s urođenom bolešću srca (vidjeti dio 5.1).
A randomised, double-blind, placebo controlled study was conducted in 267 patients with PAH who were stabilised on intravenous epoprostenol.
Provedeno je randomizirano, dvostruko slijepo, placebom kontrolirano ispitivanje s 267 bolesnika s PAH-om koji su bili stabilizirani na intravenskoj terapiji epoprostenolom.
Efficacy of sildenafil should be closely monitored in patients using concomitant potent CYP3A4 inducers, such as carbamazepine, phenytoin, phenobarbital, St John's wort and rifampicine.
Potrebno je pomno nadzirati djelotvornost sildenafila u bolesnika koji istovremeno uzimaju snažne induktore CYP3A4, poput karbamazepina, fenitoina, fenobarbitala, gospine trave i rifampicina.
Vaso-occlusive crises in patients with sickle cell anaemia Sildenafil should not be used in patients with pulmonary hypertension secondary to sickle cell anaemia.
Vazookluzivne krize u bolesnika s anemijom srpastih stanica Sildenafil se ne smije primjenjivati u bolesnika s plućnom hipertenzijom koja je posljedica anemije srpastih stanica.