Pulmopres 20 Mg (Tadalafil)
Price range: $96.58 through $211.25Required
| Pack Size | Price | Unit Price | Quantity | |
|---|---|---|---|---|
| 30 Tablet/s | $96.58 | $3.22 / tablet | ||
| 60 Tablet/s | $158.23 | $2.64 / tablet | ||
| 90 Tablet/s | $211.25 | $2.35 / tablet |
About Pulmopres 20 Mg (Tadalafil)
Medicine information
- Active ingredient
- Tadalafil
- Delivery time
- Typically 10–14 business days after dispatch for the United States, United Kingdom, Canada, and Australia; other destinations vary under the store shipping framework. Delivery estimates are not guaranteed and customs or local carrier delays may extend transit.
- Indication
- Pulmonary arterial hypertension (PAH)
- Manufacturer
- Cipla Limited
- Packaging
- 10 tablets per strip; 15 tablets per blister
- Strength
- 20 mg
- Dosage form
- Tablet
- Route
- Oral
Medicine overview
Pulmopres 20 mg is an oral tadalafil tablet from Cipla Limited. The manufacturer identifies Pulmopres as a tadalafil product, and available product information lists the 20 mg strength. Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor. In pulmonary arterial hypertension (PAH), this drug class relaxes blood vessels in the lungs, helping reduce pulmonary vascular resistance and improve exercise ability. Tadalafil is also used in other formulations for erectile dysfunction and benign prostatic hyperplasia, but those indications should not be assumed to define the intended use of Pulmopres.
What it is used for
Pulmopres 20 mg contains tadalafil, a PDE5 inhibitor used in the management of pulmonary arterial hypertension. For PAH, tadalafil is used to improve exercise ability by reducing resistance to blood flow through the pulmonary circulation. Treatment should be prescribed and supervised by a healthcare professional because the appropriate tadalafil regimen depends on the indication and factors such as kidney or liver function and interacting medicines.
How it works
Tadalafil inhibits phosphodiesterase type 5 (PDE5), an enzyme involved in breaking down cyclic guanosine monophosphate (cGMP). In pulmonary arterial hypertension, increased cGMP promotes relaxation of smooth muscle in pulmonary blood vessels. This vasodilation widens the vessels and lowers resistance to blood flow through the lungs. The resulting reduction in pulmonary vascular resistance can improve the ability to exercise in people with PAH.
How it is taken
Pulmopres is taken by mouth. Tadalafil used for pulmonary arterial hypertension can be taken with or without food. The verified PAH tadalafil labeling recommends 40 mg once daily, supplied as two 20 mg tablets, but individual requirements can differ in people with kidney or liver impairment and with certain interacting medicines. Pulmopres 20 mg should therefore be taken exactly as prescribed rather than using the tablet strength to determine a dose independently.
Important warnings
Do not use tadalafil with nitrates such as nitroglycerin or with guanylate cyclase stimulators such as riociguat because the combination can cause a dangerous fall in blood pressure. Avoid combining it with another tadalafil product or other PDE5 inhibitors. Blood-pressure lowering can also be increased by alpha-blockers, antihypertensive medicines, or substantial alcohol intake. Potent CYP3A inhibitors such as ketoconazole or itraconazole and potent CYP3A inducers such as rifampin can significantly alter tadalafil exposure. PAH labeling advises avoiding tadalafil in severe kidney impairment and severe hepatic cirrhosis. Seek urgent medical attention for sudden vision loss, sudden reduction or loss of hearing, or an erection lasting more than four hours. Tadalafil is not recommended for pulmonary veno-occlusive disease because pulmonary vasodilators may worsen pulmonary edema.
Side effects and monitoring
Common adverse effects reported with tadalafil for pulmonary arterial hypertension include headache; other reported effects include muscle pain, flushing, nausea, back pain, indigestion, and nasal or respiratory symptoms. Serious but less common concerns include severe hypotension, sudden vision loss associated with non-arteritic anterior ischemic optic neuropathy (NAION), sudden hearing loss, hypersensitivity reactions, and prolonged erection. Obtain prompt medical care for sudden hearing or vision changes and emergency care for an erection lasting more than four hours. Clinical follow-up may include assessment of PAH symptoms, exercise capacity, blood pressure, treatment response, and kidney or liver function when clinically appropriate.
Pregnancy
Human pregnancy data for tadalafil are limited. Available case-series data have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes, but the evidence is insufficient to establish absence of risk. Untreated pulmonary arterial hypertension itself carries serious maternal and fetal risks, so treatment decisions during pregnancy require specialist medical assessment.
Breastfeeding
There are no adequate human data showing how much tadalafil or its metabolites pass into breast milk or what effects they may have on a breastfed child or milk production. Tadalafil and/or its metabolites are present in animal milk. The need for treatment and the potential risks to the breastfed child should be discussed with the treating specialist.
Food, drink and interactions
Substantial alcohol intake should be avoided. Alcohol and tadalafil both have vasodilating effects, so using them together can increase the likelihood of low blood pressure, dizziness, headache, increased heart rate, and symptoms when standing.
Food and drink
Tadalafil for pulmonary arterial hypertension may be taken with or without food. Grapefruit juice may increase tadalafil exposure because tadalafil is mainly metabolized through CYP3A; discuss grapefruit consumption with the prescriber or pharmacist.
Frequently asked questions
Can I take Pulmopres 20 mg with food?
Yes. Tadalafil used for pulmonary arterial hypertension can be taken with or without food.
Is one Pulmopres 20 mg tablet the standard daily dose for pulmonary arterial hypertension?
Do not determine your dose from the tablet strength alone. The verified tadalafil PAH labeling uses 40 mg once daily for the standard regimen, with different considerations for kidney or liver impairment and interacting medicines; follow the dose prescribed specifically for you.
Can I take Pulmopres with nitrate medicine for chest pain?
No. Tadalafil must not be combined with nitrates because blood pressure can fall to an unsafe level.
Can tadalafil cause headaches or muscle pain?
Yes. Headache is particularly common with tadalafil used for PAH, and muscle or back pain can also occur. Contact your healthcare professional if an effect is severe, persistent, or concerning.
Can I drink alcohol while taking Pulmopres?
Large amounts should be avoided. Tadalafil and alcohol can both lower blood pressure, increasing the risk of dizziness, headache, or faintness.
Can I use another erectile dysfunction medicine while taking Pulmopres?
Do not combine Pulmopres with another tadalafil product or another PDE5 inhibitor unless a specialist has specifically directed this. The safety of such combinations has not been established and blood-pressure-lowering effects may increase.
What should I do if my vision or hearing suddenly changes while taking tadalafil?
Seek medical attention promptly. Sudden vision loss or sudden reduction or loss of hearing are uncommon but important adverse events reported with PDE5 inhibitors.
Can Cheap Generic Med ship Pulmopres to the United States?
Cheap Generic Med serves the United States under its international shipping model. Delivery is typically estimated at 10–14 business days after dispatch, but customs or carrier delays can extend transit; shipping availability does not establish whether personal import is permitted in an individual case.
Will my Pulmopres order have tracking?
Under the standard Cheap Generic Med fulfilment model, tracked international shipping is used and a tracking number should be provided after dispatch. Carrier systems may take 24–72 hours to begin showing movement.
Sources
Medical information notice: This information does not replace advice from a qualified healthcare professional. Use prescription medicine only as directed by the prescriber and the approved product information.
| Active Ingredients | Tadalafil |
|---|---|
| Manufacturer | Cipla Pharma, India |
| Packaging | Qty |
| strength | 20mg |
| Delivery Time | 6 To 15 days |
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