Alprostadil【C】

Cardiovascular – Renal Drugs : Vasodilators
ICAVE1 “Caverject sterile powder” 20 mcg/vial
IPROM1 “Promostan injection” 20 mcg/vial

適應症:

ICAVE1:用於勃起機能障礙診斷及治療。

IPROM1:用於動脈內或大靜脈內點滴注射,改善周邊動脈阻塞疾病症狀;靜脈內投與,維持血行再建術後之血流。

Usual dose:

Erectile dysfunction( vasculogenic, psychogenic or mixed etiology):

Adult: initial dose of 2.5 mcg intracavernosal injection, average dose of 2.5-60 mcg; < 3 doses/wk with at least 24 h between doses; or 125-1000 mcg urethral suppository; < 2 doses/24 h; the dosage should be reduced for erections lasting > 1 h for either system.

Patent ductus arteriosus, Palliative:

Pediatric: initial, 0.05-0.1 mcg/kg/min continuous IV infusion, after response is achieved reduce infusion rate to lowest dose needed to maintain response.

Contraindication:

Anatomical deformation of the penis, myeloma neonatal respiratory distress syndrome, Peyronie’s disease, predisposition to priapism, sickle cell anemia or trait.

Adverse effect:

Common: penile pain, penile fibrosis, ache in penis, testicles.

Serious: priapism.

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