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Introduction About EXTADIL 20MG GRANULE
EXTADIL 20MG GRANULE contains Tadalafil which belongs to the group of medicines called Phosphodiesterase type 5 (PDE 5) inhibitors. It is used in adult men to manage erectile dysfunction and urinary symptoms associated with benign prostatic hyperplasia (prostate enlargement causing painful or frequent urination or untentional passing of urine).
Erectile dysfunction (also known as impotence) is a sexual condition where a man cannot sustain a hard erected penis that is required for a normal sexual activity. It happens due to decreased blood flow to the penis.
EXTADIL 20MG GRANULE would help you to get an erection only if you are sexually stimulated. It is not an aphrodisiac (sex-stimulating agent) and therefore cannot be used to induce sexual thoughts or can improve sexual performance/pleasure in healthy men. It is also not suitable for use in healthy men who do not have erectile dysfunction.
It may take around 30 minutes to 1 hour for EXTADIL 20MG GRANULE to start working, therefore take this medicine at least one hour before planning to have sex. Avoid consuming alcohol or grapefruit juice while taking EXTADIL 20MG GRANULE, as it may lead to unwanted side effects.
Before taking EXTADIL 20MG GRANULE, inform your doctor if you have any liver, kidney or heart problems. You must also inform your doctor if you have any deformity in your penis or have undergone surgical removal of whole or a part of the prostate gland.
EXTADIL 20MG GRANULE is not recommended for use in patients with severely low or high blood pressure and in patients who recently had stroke. The most common side effects of taking EXTADIL 20MG GRANULE are flushing, headache, dizziness, blurred vision and muscle pain. Consult your doctor if any of these side effect troubles you.
You must also inform your doctor if you experience any painful and prolong erection after taking EXTADIL 20MG GRANULE.
Uses Of EXTADIL 20MG GRANULE
It is used to manage:
- Erectile dysfunction
- Signs of Benign Prostatic Hyperplasia
How EXTADIL 20MG GRANULE Works
EXTADIL 20MG GRANULE works by blocking the effects of certain enzymes (PDE5) in the body that limits blood flow to the penis. This relaxes the blood vessels supplying the penis, improves blood flow to the penis and makes it stay erected throughout the process of sexual intercourse.
It also relaxes the smooth muscles surrounding the bladder and prostate gland which improves the flow of urine thereby reducing the unpleasant signs of Benign Prostatic Hyperplasia.
How to use EXTADIL 20MG GRANULE
Take EXTADIL 20MG GRANULE preferably before meals and at least 1 hour before sexual intercourse or as advised by your physician.
For Tablet: Swallow the medicine with a glass of water. Do not crush or chew the medicine.
For Orally Disintegrating Strip/Flim: Place the medicine inside the mouth until it dissolves on its own. Do not swallow or crush or chew the medicine.
For Granules: Disperse the medicine in the required amount of water as mentioned in the product label. Stir the mixture until it becomes uniform. Consume the medicine immediately after reconstitution.
Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition.
Side Effects Of EXTADIL 20MG GRANULE
Common
- headache
- backpain, muscle pain
- pain in arms and legs
- flushing of the face
- nasal congestion
- indigestion
Uncommon
- dizziness
- stomach pain, acidity
- nausea, vomiting
- blurred vision, eye pain
- difficulty in breathing
- blood in urine
- palpitation (racing heartbeat)
- changes in blood pressure (high/low)
- nasal bleeds
- tinnitus (ringing in ears)
- swelling of hands, feet or ankles
- tiredness
Rare
- bleeding from penis
- blood in semen
Stop taking EXTADIL 20MG GRANULE and contact your doctor immediately if you experience any of the following side effects:
- severe allergic reaction (such as wheeziness, difficulty in breathing or dizziness, swelling of the face, lips, eyelids or throat)
- prolonged or painful erection (priapism)
- chest pain
- sudden decline or loss of vision
- decreased hearing or sudden hearing loss
How To Manage Side Effects
Nausea and Vomiting:
Take EXTADIL 20MG GRANULE with or just after meals. Stick to simple meals. Avoid eating oil rich or spicy foods. Consult your doctor if your symptom worsens.
Headache:
Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.
Dizziness:
Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.
Warning & Precautions
Pregnancy
EXTADIL 20MG GRANULE is not suitable for use in women.
Breastfeeding
EXTADIL 20MG GRANULE is not suitable for use in women.
Driving and Using Machines
Do not drive or operate any machines if you experience dizziness or blurred vision after taking EXTADIL 20MG GRANULE.
Alcohol
Avoid consumption of alcohol while taking EXTADIL 20MG GRANULE, as it could temporarily impair your ability to get an erection.
Kidney
EXTADIL 20MG GRANULE should be used with caution in patients with kidney problems. Therefore, consult your doctor before taking it.
Liver
EXTADIL 20MG GRANULE should be used with caution in patients with liver problems. Therefore, consult your doctor before taking it.
Allergy
Do not take EXTADIL 20MG GRANULE if you are allergic to Tadalafil.
Lungs
EXTADIL 20MG GRANULE should be used with caution in patients with pulmonary arterial hypertension. Therefore, consult your doctor before taking it.
Heart Disease
EXTADIL 20MG GRANULE is not recommended for use in patients with severe heart diseases (such as any recent heart attack). It should be used with caution in patients with other heart diseases. Therefore, consult your doctor before taking it.
Others
EXTADIL 20MG GRANULE is not recommended for use if you:
- recently had stroke (within the last 3 months)
- have severe low blood pressure
- have uncontrollably high blood pressure
- previously had vision loss due to non-arteritic anterior ischaemic optic neuropathy (nerve damage caused due to lack of blood and oxygen supply to the eye)
Before taking EXTADIL 20MG GRANULE inform your doctor if you:
- have sickle cell anaemia (an inherited blood disorder charactrized by low RBC count)
- have cancers of blood (leukaemia) or bone marrow (multiple myeloma)
- have penile deformation
- had any pelvis surgery in the past
- had any surgical removal of all or part of the prostate gland (radical non nerve-sparing prostatectomy)
- have Peyronie’s disease (development of fibrous scar tissue in the penis that causes painful erection)
- have prostate cancer
- have stomach ulcer or bleeding disorder such as haemophilia
- have any type of a rare inherited eye diseases (such as retinitis pigmentosa)
Use in pediatrics:
EXTADIL 20MG GRANULE is not recommended for use in children and adolescents (aged below 18 years). Therefore, consult your doctor before taking it.
Use in geriatrics:
EXTADIL 20MG GRANULE should be used with caution in elderly patients. Therefore, consult your doctor before taking it.
Interactions
A. Drug-Drug Interactions:
Before taking EXTADIL 20MG GRANULE, inform your doctor if you are taking any of the following medicines such as:
- nitrates or amyl nitrites (used for reliving chest pain) Ex. nitroglycerin, isosorbide dinitrite
- other medicines used to manage erectile dysfunction (Ex. sildenafil)
- alpha blockers (used to manage high blood pressure or benign prostatic hyperplasia) Ex. prazosin, terazosin, tamsulosin
- riociguat (a medicine used to manage increased pressure in the lungs)
- medicines used to manage BPH (Ex. dutasteride, finasteride)
- ketoconazole, itraconazole (used to manage fungal infection)
- protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
- phenobarbital, phenytoin, carbamazepine (medicines used to manage fits)
- rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
B. Drug-Food Interactions:
Avoid consuming grapefruit juice while taking EXTADIL 20MG GRANULE, as it may increase the risk of side effects.
Overdosage:
If you or anyone else accidentally took more EXTADIL 20MG GRANULE, consult your doctor or visit the nearby hospital.
Synopsis
| Drug | : |
Tadalafil |
| Pharmacological Category | : |
Phosphodiesterase-5 inhibitors |
| Therapeutic Indication | : |
Erectile Dysfunction, Benign Prostatic Hyperplasia |
| Dosage Forms | : | Tablets, Oral disintegrating strips, Granules |
More Information
- Keep EXTADIL 20MG GRANULE out of sight and reach of children
- Store EXTADIL 20MG GRANULE below 30°C
FAQs About EXTADIL 20MG GRANULE
Q: How EXTADIL 20MG GRANULE works?
A: EXTADIL 20MG GRANULE works by blocking the effects of certain enzymes (PDE5) which limits blood flow to the penis. Therefore, it relaxes the blood vessels supplying the penis and improves blood flow and oxygen supply. EXTADIL 20MG GRANULE also relaxes the smooth muscles surrounding the bladder and prostate gland which improves the flow of urine thereby reducing the unpleasant signs of Benign Prostatic Hyperplasia.
Q: What is the use of EXTADIL 20MG GRANULE?
A: EXTADIL 20MG GRANULE helps in relaxing the blood vessels and allows more blood flow to the penis. It is also used for urinary symptoms associated with benign prostatic hyperplasia (prostate enlargement causing painful or frequent urination or unintentional passing of urine).
Q: Can I take EXTADIL 20MG GRANULE daily?
A: EXTADIL 20MG GRANULE is generally prescribed as one dose per day. However, your doctor will decide the number of doses per day depending upon your age, body weight and disease condition. Do not take EXTADIL 20MG GRANULE more than once a day without consulting your doctor.
Q: What will happen if I consume a high dose of EXTADIL 20MG GRANULE than prescribed by my doctor?
A: Do not consume a higher dose of EXTADIL 20MG GRANULE than the one prescribed by your doctor, as it may lead to unwanted side effects. Your doctor will decide the correct dose for you, depending on your age and disease condition.
Q: Is EXTADIL 20MG GRANULE safe?
A: EXTADIL 20MG GRANULE is considered safe at doses prescribed by the physician. However, it may cause few side effects such as headache dizziness, flushing or muscle pain in some individuals. Contact your doctor if they bother you.
Q: Can I consume alcohol while taking EXTADIL 20MG GRANULE?
A: Combining EXTADIL 20MG GRANULE with alcohol is not recommended, as both substances can independently lower blood pressure. It may increase the risk of experiencing dizziness, lightheadedness, and an increased heart rate. Additionally, alcohol could also counteract the effects of EXTADIL 20MG GRANULE and makes it less effective. If you have concerns or questions about consuming alcohol while taking this medicine, consult your doctor.
Q: What should I do if I miss a dose of EXTADIL 20MG GRANULE?
A: If you miss a dose of EXTADIL 20MG GRANULE, take it as soon as possible. However, if it is time to take the next dose, skip the missed dose and take the next one at regular times. Do not take a double dose of EXTADIL 20MG GRANULE to compensate the missed dose.
Q: Can EXTADIL 20MG GRANULE helps to urinate easily?
A: EXTADIL 20MG GRANULE helps to regulate the flow of urine by relaxing the smooth muscles surrounding the bladder and prostate. It improves urine flow and reduces pain and discomfort while passing urine.
Q: Can EXTADIL 20MG GRANULE stop urine?
A: In patients with urinary problems (such as unintentional passing of urine or frequent urination), EXTADIL 20MG GRANULE regulates the flow of urine by relaxing the smooth muscles surrounding the bladder and prostate. Therefore, it controls abnormal urinary symptoms (such as difficulty in passing urine or frequent urination).
Q: Does EXTADIL 20MG GRANULE affect fertility?
A: Studies have shown that EXTADIL 20MG GRANULE is not having any impact on fertility. However, if this is your concern, check with your doctor.
References
1. KD. Tripathi. Androgens and Drugs for Erectile Dysfunction. Essentials of medical pharmacology. Seventh edition. 2013. Page – 304.
2. Konstantinos Hatzimouratidis. A review of the use of tadalafil in the treatment of benign prostatic hyperplasia in men with and without erectile dysfunction. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. August 2014. [Accessed on 28th October 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4054509/
3. Sang-In Park, Su-Hak Heo, Gihwan Kim, Seokhoon Chang, Keon-Hyoung Song, Min-Gul Kim, Eun-Heui Jin, JaeWoo Kim, SeungHwan Lee and Jang Hee Hong. Comparison of tadalafil pharmacokinetics after administration of a new orodispersible film versus a film-coated tablet. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. April 2018. [Accessed on 28th October 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5916261/
4. Cipla (EU) Limited. Electronic Medicines Compendium (EMC). [Revised in August 2021] [Accessed on 28th October 2022] https://www.medicines.org.uk/emc/files/pil.10231.pdf
5. Eli Lilly and company. U.S. Food & Drug Administration. [Revised in October 2007] [Accessed on 28th October 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2007/021368s012lbl.pdf
6. Central Drugs Standard Control Organization. Tadalafil Tablet 2.5mg/5mg. [Revised inFebruary 2003]. Tadalafil Orally Disintegrating Strip 10mg & 20mg (Additional dosage form). [Revised in July 2014]. Tadalafil 10mg/20mg Tablets. [Revised in September 2003]. [Accessed on 28th October 2022] https://cdscoonline.gov.in/CDSCO/Drugs
7. Powder for Oral Suspension Containing Tadalafil. Google Patents. [Revised in November 2021]. [Accessed on 29th October 2022] https://patents.google.com/patent/US11179338B1/en
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