Getgo

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Getgo uses


Pharmacological action

Getgo is a medication for the treatment of erectile dysfunction. This drug is a selective inhibitor of PDE5-specific cGMP. When sexual stimulation causes local release of nitric oxide, inhibition of PDE5 Getgo leads to increased levels of cGMP in the cavernous body of penis. The result is relaxation of smooth muscles of arteries and blood flow to the tissues of the penis, causing erection. Getgo is ineffective in the absence of sexual stimulation.

Studies in vitro have shown that Getgo is a selective inhibitor of PDE5. PDE5 is an enzyme found in smooth muscles of cavernous bodies in vascular smooth muscle of the internal organs, skeletal muscle, platelets, kidney, lung cerebellum.

Effect of Getgo on PDE5 is more active than other phosphodiesterase. Getgo in 10,000 times more potent for PDE5 than for FDE1, FDE2, PDE4, which are located in the heart, brain, blood vessels, liver and other organs. This medication in 10,000 times more active blocks PDE5 than FDE3 - an enzyme that is found in the heart and blood vessels. This selectivity for PDE5 compared with FDE3 is important because FDE3 is an enzyme participating in the reduction of the heart muscle. In addition, Getgo is about 700 times more potent for PDE5 than for FDE6, found in the retina and is responsible for photo transfer.

Getgo acts within 36 hours. The effect is already apparent 16 minutes after ingestion in the presence of sexual arousal.

Getgo in healthy individuals does not cause significant changes in systolic and diastolic blood pressure compared with placebo in the prone position and standing (mean maximum decrease of 0.2/4.6 mm Hg, respectively). Getgo does not cause significant changes in heart rate.

This medicine does not cause changes in the recognition of colors (blue / green), due to its low affinity for PDE6. In addition, no marked effect of Getgo on visual acuity, electroretinogram, intraocular pressure and pupil size.

Clinically significant effect on the characteristics of sperm in men taking Getgo in daily doses for 6 months has not been identified.

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Pharmacokinetics

After oral administration Getgo is rapidly absorbed. Cmax achieved in average of 2 hours. The rate and extent of absorption do not depend on the meal. The pharmacokinetics of Getgo in healthy individuals is linear with respect to time and dose. At doses ranging from 2.5 to 20 mg AUC it increases proportionally to dose. Css in plasma are attained within 5 days while taking the drug 1 time / day.

The pharmacokinetics of this medication in patients with impaired erectile function is similar to the pharmacokinetics in individuals without erection dysfunction.

Vd is about 63 liters, indicating that Getgo is distributed into body tissues. At therapeutic concentrations, 94% of Getgo bound to plasma proteins. In healthy persons less than 0.0005% of the dose found in the semen.

This medicine metabolized with the participation of isoenzyme CYP3A4.

The main circulating metabolite is methylcatechol glucuronide, which is 13,000 times less potent for PDE5 than Getgo, so unlikely that this metabolite is clinically significant.

In healthy individuals the average clearance of Getgo ingestion of 2.5 l / h, and the median T1/2 is 17.5 hours. Getgo appears mainly as inactive metabolites mainly in the faeces (61%) and to a lesser extent in the urine (about 36%).

In patients with mild renal insufficiency (creatinine clearance from 51 to 80 ml / min) or moderate (creatinine clearance of 31 to 50 ml / min) AUC is more than in healthy individuals.

Why is Getgo prescribed?

Erectile dysfunction.

Dosage and administration

Middle-aged men are prescribed to take Getgo in dose of 20 mg at least 16 minutes prior to anticipated sexual activity, regardless of the meal. Patients may attempt to carry out sexual intercourse at any time within 36 hours after admission in order to establish the optimal response time to receive this medication.

The maximum frequency of admission is 1 time / day.

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Getgo side effects, adverse reactions

The most frequently: headache, indigestion.

Perhaps: back pain, myalgia, nasal congestion, flushing.

Rarely: edema of the eyelids, eye pain, conjunctival hyperemia, dizziness.

Getgo contraindications

Simultaneous administration of drugs containing any organic nitrates, childhood and adolescence to 18 years; hypersensitivity to Getgo.

Special instructions

With extreme caution and only when absolutely necessary, you can use Getgo in patients with severe renal insufficiency and severe hepatic impairment.

The treatment with Getgo in patients with moderately renal insufficiency (QC from 31 to 50 ml / min) were more common back pain compared to patients with mild renal insufficiency (creatinine clearance from 51 to 80 ml / min) or healthy volunteers. In patients with CC less than 50 mL / min this drug should be used with caution. Therefore, a treatment of erectile dysfunction (including with this medication) there should not been in men with heart disease, in whom sexual activity is not recommended.

Keep in mind the potential risk of complications in sexual activity in patients with cardio-vascular system: myocardial infarction within the last 90 days; unstable angina or angina occurring during sexual intercourse; chronic heart failure (II functional class and higher classification of NYHA), which developed over the last 6 months; uncontrolled cardiac arrhythmia; arterial hypotension (BP less than 90/50 mm Hg) or uncontrolled hypertension; stroke in the last 6 months.

Use Getgo with precautions in patients with predisposition to priapism (eg sickle cell anemia, multiple myeloma or leukemia) or patients with anatomical deformation of the penis (such as angulation, cavernous fibrosis or Peyronie's disease).

A patient should be informed of the need for immediate treatment to the doctor in the event of an erection, lasting 4 hours or more. Delays in treatment for priapism causes damage to penile tissue, as a result can occur long-term loss of potency.

Whilre taking Getgo there were no reported about cases of priapism.

It not recommended to use this medicine in combination with other drugs for erectile dysfunction.

Getgo drug interactions

Getgo is mainly metabolized with the participation of the enzyme CYP3A4. A selective inhibitor of CYP3A4 ketoconazole increases AUC by 107%, and rifampicin reduces it by 88%.

Despite the fact that the specific interactions were not investigated, in can be suggested that protease inhibitors such as ritonavir and saquinavir, as well as inhibitors of CYP3A4, such as erythromycin and itraconazole increase the activity of Getgo.

At the same time taking an antacid (magnesium hydroxide / aluminum hydroxide) and Getgo the rate of absorption of the latter reduces without changing the AUC.

This medication enhances the hypotensive effect of nitrates. This is due to additive effect of nitrates and Getgo on the metabolism of nitric oxide and cGMP. Therefore, using of Getgo in patients treated with nitrates is contraindicated.

Getgo in case of emergency / overdose

Symptoms: a prescription for healthy volunteers of single doses of 500 mg and patients with erectile dysfunction multiple doses up to 1000 mg adverse effects were the same as receiving lower doses.

Treatment: standard supportive care. Hemodialysis contributes little to elimination of Getgo.

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Getgo pharmaceutical active ingredients containing related brand and generic drugs:

Active ingredient is the part of the drug or medicine which is biologically active. This portion of the drug is responsible for the main action of the drug which is intended to cure or reduce the symptom or disease. The other portions of the drug which are inactive are called excipients; there role is to act as vehicle or binder. In contrast to active ingredient, the inactive ingredient's role is not significant in the cure or treatment of the disease. There can be one or more active ingredients in a drug.


Getgo available forms, composition, doses:

Form of the medicine is the form in which the medicine is marketed in the market, for example, a medicine X can be in the form of capsule or the form of chewable tablet or the form of tablet. Sometimes same medicine can be available as injection form. Each medicine cannot be in all forms but can be marketed in 1, 2, or 3 forms which the pharmaceutical company decided based on various background research results.
Composition is the list of ingredients which combinedly form a medicine. Both active ingredients and inactive ingredients form the composition. The active ingredient gives the desired therapeutic effect whereas the inactive ingredient helps in making the medicine stable.
Doses are various strengths of the medicine like 10mg, 20mg, 30mg and so on. Each medicine comes in various doses which is decided by the manufacturer, that is, pharmaceutical company. The dose is decided on the severity of the symptom or disease.


Getgo destination | category:

Destination is defined as the organism to which the drug or medicine is targeted. For most of the drugs what we discuss, human is the drug destination.
Drug category can be defined as major classification of the drug. For example, an antihistaminic or an antipyretic or anti anginal or pain killer, anti-inflammatory or so.


Getgo Anatomical Therapeutic Chemical codes:

A medicine is classified depending on the organ or system it acts [Anatomical], based on what result it gives on what disease, symptom [Therapeutical], based on chemical composition [Chemical]. It is called as ATC code. The code is based on Active ingredients of the medicine. A medicine can have different codes as sometimes it acts on different organs for different indications. Same way, different brands with same active ingredients and same indications can have same ATC code.


Getgo pharmaceutical companies:

Pharmaceutical companies are drug manufacturing companies that help in complete development of the drug from the background research to formation, clinical trials, release of the drug into the market and marketing of the drug.
Researchers are the persons who are responsible for the scientific research and is responsible for all the background clinical trials that resulted in the development of the drug.


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References

  1. Dailymed."CIALIS (TADALAFIL) TABLET, FILM COATED [BRYANT RANCH PREPACK]". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
  2. Dailymed."TADALAFIL: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
  3. "Tadalafil". https://pubchem.ncbi.nlm.nih.gov/co... (accessed August 28, 2018).

Frequently asked Questions

Can i drive or operate heavy machine after consuming Getgo?

Depending on the reaction of the Getgo after taken, if you are feeling dizziness, drowsiness or any weakness as a reaction on your body, Then consider Getgo not safe to drive or operate heavy machine after consumption. Meaning that, do not drive or operate heavy duty machines after taking the capsule if the capsule has a strange reaction on your body like dizziness, drowsiness. As prescribed by a pharmacist, it is dangerous to take alcohol while taking medicines as it exposed patients to drowsiness and health risk. Please take note of such effect most especially when taking Primosa capsule. It's advisable to consult your doctor on time for a proper recommendation and medical consultations.

Is Getgo addictive or habit forming?

Medicines are not designed with the mind of creating an addiction or abuse on the health of the users. Addictive Medicine is categorically called Controlled substances by the government. For instance, Schedule H or X in India and schedule II-V in the US are controlled substances.

Please consult the medicine instruction manual on how to use and ensure it is not a controlled substance.In conclusion, self medication is a killer to your health. Consult your doctor for a proper prescription, recommendation, and guidiance.

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Review

sdrugs.com conducted a study on Getgo, and the result of the survey is set out below. It is noteworthy that the product of the survey is based on the perception and impressions of the visitors of the website as well as the views of Getgo consumers. We, as a result of this, advice that you do not base your therapeutic or medical decisions on this result, but rather consult your certified medical experts for their recommendations.

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The information was verified by Dr. Rachana Salvi, MD Pharmacology

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