Granpidam

sildenafil

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This is a summary of the European public assessment report (EPAR) for Granpidam. It explains how the Agency assessed the medicine to recommend its authorisation in the EU and its conditions of use. It is not intended to provide practical advice on how to use Granpidam.

For practical information about using Granpidam, patients should read the package leaflet or contact their doctor or pharmacist.

What is Granpidam and what is it used for?

Granpidam is a medicine used to treat adults and children from 1 year of age with pulmonary arterial hypertension (PAH, abnormally high blood pressure in the arteries in the lungs). In adults, it is used in patients with class II (slight limitation of physical activity) or class III (marked limitation of physical activity) PAH.

Granpidam contains the active substance sildenafil. It is a ‘generic medicine’. This means that Granpidam is similar to a ‘reference medicine’ already authorised in the European Union (EU) called Revatio.

How is Granpidam used?

Granpidam can only be obtained with a prescription and treatment should be started and monitored by a doctor who has experience in the treatment of PAH.

Granpidam is available as tablets (20 mg). In adults, Granpidam is taken at a dose of 20 mg three times a day. Lower doses of Granpidam may be needed in patients taking some medicines that affect the way Granpidam is broken down in the body.

In children aged 1 to 17 years, the recommended dose is 20 mg three times a day in those over 20 kg. Higher doses should not be used. In children weighing less than 20 kg the maximum recommended dose would be 10 mg three times a day but Granpidam can only be used when a 20-mg dose is to be given. For lower doses, other medicines containing sildenafil should therefore be used.

How does Granpidam work?

PAH is a debilitating disease where there is severe constriction (narrowing) of the blood vessels of the lungs. This leads to high blood pressure in the vessels taking blood from the heart to the lungs and reduces the amount of oxygen that can get into the blood in the lungs, making physical activity more difficult. The active substance in Granpidam, sildenafil, belongs to a group of medicines called ‘phosphodiesterase-type-5 (PDE5) inhibitors’, which means that it blocks the PDE5 enzyme. This enzyme is found in the blood vessels of the lungs. When it is blocked, a substance called ‘cyclic guanine monophosphate’ (cGMP) cannot be broken down, so that it remains in the vessels where it causes relaxation and widening of the blood vessels. In patients with PAH, sildenafil widens the blood vessels of the lungs, which lowers the blood pressure and improves symptoms.

How has Granpidam been studied?

Because the effectiveness and safety of sildenafil in PAH is already well established, studies in people have been limited to tests to determine that it is bioequivalent to another authorised sildenafil-containing tablet. Two medicines are bioequivalent when they produce the same levels of the active substance in the body. In this case Granpidam was not compared with the reference product Revatio, but with Viagra. This was considered acceptable since Revatio and Viagra have the same composition and are made in the same way by the same manufacturer.

What are the benefits and risks of Granpidam?

Because Granpidam is a generic medicine, its benefits and risks are taken as being the same as the reference medicine’s.

Why is Granpidam approved?

The Agency’s Committee for Medicinal Products for Human Use (CHMP) concluded that, in accordance with EU requirements, Granpidam was considered to be comparable to Revatio. Therefore, the CHMP’s view was that, as for Revatio, the benefit of Granpidam outweighs the identified risk. The Committee recommended that Granpidam be approved for use in the EU.

What measures are being taken to ensure the safe and effective use of Granpidam?

Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Granpidam have been included in the summary of product characteristics and the package leaflet.

Other information about Granpidam

The European Commission granted a marketing authorisation valid throughout the European Union for Granpidam on 14 November 2016.

For more information about treatment with Granpidam, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.

Name Language First published Last updated
Granpidam : EPAR - Summary for the public BG = bălgarski 2017-01-31  
Granpidam : EPAR - Summary for the public ES = español 2017-01-31  
Granpidam : EPAR - Summary for the public CS = čeština 2017-01-31  
Granpidam : EPAR - Summary for the public DA = dansk 2017-01-31  
Granpidam : EPAR - Summary for the public DE = Deutsch 2017-01-31  
Granpidam : EPAR - Summary for the public ET = eesti keel 2017-01-31  
Granpidam : EPAR - Summary for the public EL = elliniká 2017-01-31  
Granpidam : EPAR - Summary for the public EN = English 2017-01-31  
Granpidam : EPAR - Summary for the public FR = français 2017-01-31  
Granpidam : EPAR - Summary for the public IT = italiano 2017-01-31  
Granpidam : EPAR - Summary for the public LV = latviešu valoda 2017-01-31  
Granpidam : EPAR - Summary for the public LT = lietuvių kalba 2017-01-31  
Granpidam : EPAR - Summary for the public HU = magyar 2017-01-31  
Granpidam : EPAR - Summary for the public MT = Malti 2017-01-31  
Granpidam : EPAR - Summary for the public NL = Nederlands 2017-01-31  
Granpidam : EPAR - Summary for the public PL = polski 2017-01-31  
Granpidam : EPAR - Summary for the public PT = português 2017-01-31  
Granpidam : EPAR - Summary for the public RO = română 2017-01-31  
Granpidam : EPAR - Summary for the public SK = slovenčina 2017-01-31  
Granpidam : EPAR - Summary for the public SL = slovenščina 2017-01-31  
Granpidam : EPAR - Summary for the public FI = suomi 2017-01-31  
Granpidam : EPAR - Summary for the public SV = svenska 2017-01-31  
Granpidam : EPAR - Summary for the public HR = Hrvatski 2017-01-31  

This EPAR was last updated on 08/02/2017 .

Authorisation details

Product details

Product details for Granpidam
NameGranpidam
Agency product numberEMEA/H/C/004289
Active substance

sildenafil citrate

International non-proprietary name (INN) or common name

sildenafil

Therapeutic area Hypertension, Pulmonary
Anatomical therapeutic chemical (ATC) code G04BE03
Generic

A generic medicine is a medicine which is similar to a medicine that has already been authorised (the 'reference medicine'). A generic medicine contains the same quantity of active substance(s) as the reference medicine. Generic and reference medicines are used at the same dose to treat the same disease, and they are equally safe and effective.

Publication details

Publication details for Granpidam
Marketing-authorisation holder

Accord Healthcare Ltd

Revision1
Date of issue of marketing authorisation valid throughout the European Union14/11/2016

Contact address:

Accord Healthcare Ltd
Sage House 
319 Pinner Road 
North Harrow 
Middlesex HA1 4HF 
United Kingdrom

Product information

Product information

17/01/2017  Granpidam -EMEA/H/C/004289 -IAIN/0001/G

Name Language First published Last updated
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - Product Information HR = Hrvatski 2017-01-31 2017-02-08

Contents

  • Annex I - Summary of product characteristics
  • Annex IIA - Manufacturing-authorisation holder responsible for batch release
  • Annex IIB - Conditions of the marketing authorisation
  • Annex IIIA - Labelling
  • Annex IIIB - Package leaflet

Please note that the size of the above document can exceed 50 pages.

You are therefore advised to be selective about which sections or pages you wish to print.


Name Language First published Last updated
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08
Granpidam : EPAR - All Authorised presentations HR = Hrvatski 2017-01-31 2017-02-08

Pharmacotherapeutic group

Urologicals

Therapeutic indication

Adults
Treatment of adult patients with pulmonary arterial hypertension classified as WHO functional class II and III, to improve exercise capacity. Efficacy has been shown in primary pulmonary hypertension and pulmonary hypertension associated with connective tissue disease.

Paediatric population
Treatment of paediatric patients aged 1 year to 17 years old with pulmonary arterial hypertension. Efficacy in terms of improvement of exercise capacity or pulmonary haemodynamics has been shown in primary pulmonary hypertension and pulmonary hypertension associated with congenital heart disease.

Assessment History

Changes since initial authorisation of medicine

Name Language First published Last updated
Granpidam : EPAR - Procedural steps taken and scientific information after authorisation HR = Hrvatski 2017-02-08  

Initial marketing-authorisation documents

Name Language First published Last updated
Granpidam : EPAR - Public assessment report HR = Hrvatski 2017-01-31  
CHMP summary of positive opinion for Granpidam HR = Hrvatski 2016-09-16  

Authorised

This medicine is approved for use in the European Union

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