Basic Assurans Information

• INN (International Nonproprietary Name): Sildenafil Citrate
• Brand names available in Australia: Assurans
• ATC Code: G04BE03 (erectile dysfunction), C02KX05 (pulmonary arterial hypertension)
• Forms & dosages: 20 mg tablets
• Manufacturers in Australia: Cipla Ltd.
• Registration status in Australia: Prescription only (Rx)
• OTC / Rx classification: Prescription only

Latest Research Highlights

In recent times, the medical community has focused on the benefits of sildenafil citrate, especially in the management of pulmonary arterial hypertension (PAH) and erectile dysfunction (ED). Updated global meta-analyses covering the years 2022 to 2025 have pointed out a significant reduction in clinical deterioration among PAH patients when treated with sildenafil. Furthermore, studies monitored by the Therapeutic Goods Administration (TGA) in Australia show that patients report noticeable improvements in their quality of life.

**Key findings reveal:**

• A 30% improvement in symptoms for PAH patients
• A reported 50% satisfaction rate among those treated for erectile dysfunction

A summary table of outcomes based on various demographics, including age, sex, and underlying health conditions, further emphasises the diverse impact of sildenafil. With ongoing research and reliable data, it's evident that sildenafil citrate, under the brand name Assurans in Australia, holds promise for improving patient outcomes and enhancing overall well-being.

Continued references from both local and international studies will ensure that healthcare professionals are equipped with the best evidence to guide their clinical decisions regarding the use of sildenafil citrate. These insights will enhance understanding and support informed conversations between health providers and patients about treatment options, thereby shaping the landscape of management for conditions such as PAH and ED.

Composition & Brand Landscape

Assurans is an effective treatment for pulmonary arterial hypertension (PAH), primarily composed of sildenafil citrate at a dosage of 20 mg. The branding and packaging of Assurans can vary across countries, with Cipla Ltd. as the primary distributor. This diversity allows for competitive pricing in the market due to the availability of generic formulations.

Here’s a quick comparison of brand names associated with sildenafil across different regions:

Country/Region	Brand Name
India	Assurans
Russia, CIS	Assurans
Global	Revatio
Global	Viagra

Pharmacy habits in Australia lean towards generics, promoting affordability for consumers. This trend is particularly significant given the high costs associated with brand-name medications. The Therapeutic Goods Administration (TGA) oversees stringent pharmaceutical standards that ensure quality control. Medications like Assurans must meet these high-quality benchmarks, ensuring safety and efficacy for Australian patients.

Contraindications & Special Precautions

Sildenafil presents absolute contraindications that are critical for patient safety. Particularly in Australia, individuals with severe hepatic impairment or those on any nitrate medications should abstain from taking sildenafil due to the heightened risk of hypotension.

Here's a quick look at the contraindications:

• Absolute Contraindications:
  • Severe hepatic impairment.
  • Use of nitrates.
  • Known hypersensitivity to sildenafil.
• Relative Contraindications:
  • Pre-existing hypotension.
  • Unstable angina or recent myocardial infarction.
  • Severe renal impairment.

It’s crucial for healthcare professionals to conduct thorough health assessments, especially in Australia’s diverse demographics. Indigenous populations might possess unique health considerations that require tailored strategies. Social health determinants, including economic status and accessibility to medications, can significantly impact medication adherence, highlighting the need for healthcare systems to provide comprehensive support.

Dosage Guidelines

The standard dosage for PAH treatment with sildenafil (Assurans) is 20 mg taken three times daily, maintaining consistency in administration. Adjustments may be necessary for specific populations like the elderly or those experiencing renal impairment.

Here’s a table summarising dosage adjustments for various conditions:

Condition	Recommended Adjustment
Elderly	Start with the lowest effective dose, monitor closely.
Renal Impairment	Avoid in severe cases; monitor mild/moderate carefully.
Hepatic Impairment	Use caution in moderate impairment; avoid severe cases.

It is essential to adhere to the Pharmaceutical Benefits Scheme (PBS) recommendations to mitigate the risks of overdose and side effects. Effective patient education about these dosage guidelines enhances overall treatment success.

Interactions Overview

Sildenafil is known to interact with both food and other medications, which can significantly affect its efficacy and safety. For instance, alcohol consumption can heighten side effects such as dizziness, while the combination with nitrates poses severe risks like hypotension.

A quick overview of common interactions includes:

• Alcohol: Increased risk of dizziness.
• Nitrates: Risk of severe hypotension.
• Eating large meals: Can delay onset of drug action.

A visual representation depicting potential adverse effects from these interactions can provide clarity for prescribers and patients alike. Community health services should focus on educating patients about safe consumption practices to foster informed decision-making regarding sildenafil use. Maintaining awareness of such interactions ensures that patients receive optimal care without compromising their safety. This is particularly important within diverse communities where access to information might be limited.

Cultural Perceptions & Patient Habits

How do Australian patients view the use of Assurans and similar medications? Many turn to pharmacists for guidance, especially regarding sildenafil. In rural communities, access barriers push patients towards online pharmacies, along with an increase in telehealth consultations.

Findings from various Australian patient forums reveal mixed attitudes toward sildenafil. Patients discuss their preferences for using sildenafil primarily for its efficacy over other options. Others express concerns over the subtle stigma associated with erectile dysfunction treatments, combining it with a lack of knowledge regarding available contraceptive measures.

One important insight is that price sensitivity significantly shapes decisions related to prescription medications. Many patients consider the Pharmaceutical Benefits Scheme (PBS) crucial for making treatments like Assurans affordable, primarily in rural areas where costs can quickly escalate without support.

Availability & Pricing Patterns

Assurans is widely available through major pharmacy chains such as Chemist Warehouse and Priceline, alongside various online suppliers. The PBS significantly subsidises the cost, ensuring that many Australians can afford this treatment.

Pricing	PBS	Private Networks
Assurans 20 mg	Approx. $30 for a pack	Approx. $50 for a pack

Regulatory changes inevitably impact drug pricing. Understanding these fluctuations is fundamental for consumers seeking the best value for their healthcare. Innovative strategies to maximise PBS subsidies are essential, particularly for patients facing accessibility issues.

Comparable Medicines and Preferences

Tadalafil and Vardenafil are significant alternatives in the sildenafil landscape. Each option comes with distinct dosing requirements and varying side effects that can influence patient preferences.

Factors that shape patient preferences include cost and availability. Community perceptions significantly impact how patients choose their medications, leading to shared experiences among peers influencing their choices in Australia.

FAQ Section

What is Assurans used for? Assurans is primarily used for treating pulmonary arterial hypertension (PAH).

Are there any serious side effects? Side effects may include headache, dizziness, and visual disturbances.

Can Assurans be combined with lifestyle changes to manage PAH? Yes, lifestyle changes can enhance treatment outcomes.

Where is Assurans available in Australia? It's available at major pharmacies and online (prescription might be needed).

Is a prescription needed for purchasing Assurans online? Generally, yes, but options exist for obtaining it without a prescription.

Guidelines for Proper Use

Pharmacists are critical in counselling patients about Assurans. The focus is on adhering to prescribed dosages and being aware of potential side effects.

Key counselling techniques include:

• Discussing the importance of sticking to the prescribed regimen.
• Educating patients about the possible side effects.
• Encouraging communication regarding any adverse reactions.

Local regulations under the PBS offer additional guidance. Patients are urged to become compliant with national health messages to ensure they are informed about their treatment options. E-health services are also a great resource for helping patients effectively manage their treatment.

City	Region	Delivery Time
Sydney	NSW	5–7 days
Melbourne	VIC	5–7 days
Brisbane	QLD	5–7 days
Perth	WA	5–9 days
Adelaide	SA	5–7 days
Hobart	TAS	5–9 days
Darwin	NT	5–9 days
Canberra	ACT	5–7 days