Buy Roflumilast
Roflumilast

1.04
Generic Roflumilast is a phosphodiesterase-4 (PDE4) inhibitor used to reduce the frequency of exacerbations in chronic obstructive pulmonary disease (COPD). It helps adults by reducing lung inflammation and relaxing the airways, which facilitates easier breathing over long-term treatment.


Ingredient
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Roflumilast
Reference Brand
Daxas
Manufacturer
AstraZeneca UK Ltd
Product Form
Tablet
Regulatory Classification
Rx
Primary Category
COPD Treatment
Product Category
Drugs for obstructive airway diseases, Phosphodiesterase 4 inhibitors
Pharmacological Class
PDE4 inhibitor
Manufacturer Description
A maintenance treatment used to reduce flare-ups of severe COPD in adults.
Mechanism of Action
Roflumilast is a non-steroid, anti-inflammatory drug that works by inhibiting the enzyme PDE4. By doing so, it reduces the inflammation in the lungs that causes the narrowing of airways in patients with COPD and chronic bronchitis.
Route of Administration
Oral
Onset Time
Full effect may take several weeks
Duration
Daily long-term use
Contraindications
Moderate to severe liver impairment, Hypersensitivity to roflumilast
Severe Adverse Events
Suicidal ideation, Anxiety, Severe weight loss, Angioedema
Common Side Effects
Decreased appetite, Diarrhoea, Headache
Uncommon Side Effects
Weight loss, Nausea, Abdominal pain, Sleep disturbances
Drug Interactions
Rifampicin, Phenobarbital, Carbamazepine, Theophylline
Pregnancy Safety Warnings
Not recommended during pregnancy or breastfeeding.
Age Restrictions
Adults over 18
Storage Guidelines
No special storage conditions
Related Products
Theophylline, Salmeterol, Tiotropium

Roflumilast FAQ

Can I travel internationally with roflumilast tablets?

Yes, roflumilast tablets can be taken abroad, but you should carry a copy of the prescription and a doctor’s note if the medication is not commonly known in the destination country. Keep the medication in its original, clearly labelled container.

Will roflumilast show up on drug tests for work or sport?

Roflumilast is not a prohibited substance in standard workplace or anti-doping drug panels. However, athletes should check the specific list of their governing body, as regulations can change.

What does a roflumilast pill look like and how is it imprinted?

In the UK, the 500 mg roflumilast tablet is typically round, white, and bears the imprint “ROF 500”. Appearance may vary between manufacturers, so always verify the imprint against the pharmacy label.

Are there any special considerations for using roflumilast while pregnant?

Roflumilast is not recommended during pregnancy because safety data are limited. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternative COPD management options with their doctor.

Why do some patients lose weight while taking roflumilast?

The drug can reduce appetite and cause gastrointestinal discomfort, leading to decreased caloric intake. Regular monitoring of weight is advised, and nutritional counseling may help mitigate unwanted loss.

How frequently should liver function be tested while on roflumilast?

Baseline liver enzymes should be measured before starting therapy, followed by periodic testing (e.g., every 3-6 months) or sooner if clinical signs of liver injury appear.

Can roflumilast be taken together with inhaled corticosteroids?

Yes, roflumilast is often prescribed in addition to inhaled therapies such as corticosteroids or long-acting bronchodilators. The combination aims to control inflammation from different angles, but your clinician will review the full medication regimen for safety.

What is the difference between roflumilast and other COPD pills like theophylline?

Both are oral COPD treatments, but roflumilast works by inhibiting PDE4, whereas theophylline is a methylxanthine that relaxes airway smooth muscle and has a narrower therapeutic window. Roflumilast’s anti-inflammatory profile is distinct and may be better tolerated in some patients.

How long can I keep roflumilast after the expiry date?

Do not use roflumilast past its printed expiry date. Chemical stability cannot be guaranteed beyond this point, and potency may decline, risking reduced efficacy or safety.

Is there any cost advantage to using a generic roflumilast versus a brand-name version?

Generic roflumilast typically costs less than brand-name equivalents because it does not bear the research and marketing expenses of a proprietary product. Pricing can vary by pharmacy and NHS prescription status.

Roflumilast: Generic Medication Overview

Roflumilast is a prescription medication classified under the asthma and breathing therapeutic group. The active ingredient is roflumilast, and it is supplied as a 500 mg oral pill. In the United Kingdom, roflumilast is a prescription-only (POM) medicine and is regulated by the Medicines and Healthcare products Regulatory Agency (MHRA).

How Roflumilast Works in the Body

Roflumilast belongs to the class of phosphodiesterase-4 (PDE4) inhibitors. By blocking the PDE4 enzyme, the drug raises intracellular levels of cyclic adenosine monophosphate (cAMP). Increased cAMP dampens the activity of inflammatory cells in the airways, leading to reduced release of cytokines and other mediators that contribute to chronic lung inflammation. This anti-inflammatory effect helps to lower the frequency of worsening symptoms (exacerbations) in patients with certain chronic breathing conditions.

Conditions Treated by Roflumilast

  • Chronic obstructive pulmonary disease (COPD) with chronic bronchitis - Roflumilast is approved in the UK to reduce the risk of COPD exacerbations in patients with a history of frequent flare-ups.
  • Note on asthma - Roflumilast is not approved for the treatment of asthma. Use in asthma should only occur under specialist supervision and within a clinical trial setting.

Patient Suitability and Contraindications

Who Should Use Roflumilast?

  • Adults with stable COPD who have experienced multiple exacerbations in the past year despite optimal inhaled therapy.
  • Patients who can tolerate oral medication and have no severe hepatic impairment.

Absolute Contraindications

  • Known hypersensitivity to roflumilast or any of its excipients.
  • Severe liver disease (e.g., Child-Pugh class C).

Relative Contraindications & Special Populations

  • Moderate liver impairment (requires dose adjustment or close monitoring).
  • Pregnancy or breastfeeding - roflumilast is not recommended because safety data are insufficient; women of child-bearing potential should use effective contraception.
  • Elderly patients may be more susceptible to weight loss and neuro-psychiatric side effects; regular assessment is advised.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Diarrhoea
  • Nausea or abdominal discomfort
  • Decreased appetite and weight loss
  • Headache

These effects are usually mild to moderate and tend to improve with continued therapy.

Serious Adverse Events

  • Depressive symptoms or suicidal thoughts (rare but serious; requires immediate medical attention).
  • Severe liver enzyme elevations (monitoring required).

Drug Interactions

  • Major: Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin) can increase roflumilast plasma levels; co-administration should be avoided or the dose adjusted under medical guidance.
  • Moderate: CYP1A2 inducers (e.g., rifampicin) may reduce roflumilast effectiveness; monitoring may be needed.

Food and Lifestyle Interactions

  • Roflumilast can be taken with or without food; a high-fat meal does not markedly affect absorption.
  • Alcohol does not have a known direct interaction, but excessive intake may worsen gastrointestinal side effects.

How to Take Roflumilast

  • Standard dosing: One 500 mg tablet taken orally once daily, at the same time each day.
  • Administration: Swallow the tablet whole with a glass of water; do not crush or chew.
  • Missed dose: If remembered within a few hours, take the missed tablet. If it is near the time for the next scheduled dose, skip the missed tablet and resume the regular schedule-do not double-dose.
  • Overdose: Symptoms may include severe nausea, vomiting, and dizziness. Seek urgent medical care; treatment is primarily supportive.
  • Discontinuation: Do not stop abruptly without consulting a healthcare provider. Gradual tapering is not required, but a review of symptom control is recommended.

Monitoring and Follow-Up

  • Liver function tests (ALT, AST) at baseline and periodically during treatment.
  • Weight should be recorded regularly; significant loss (>5 % of body weight) may warrant dose reassessment.
  • Mental health screening for depression or suicidal ideation at baseline and during follow-up visits.
  • Pulmonary assessment (spirometry, exacerbation frequency) to evaluate therapeutic benefit.

Storage and Handling

  • Store the tablets at room temperature (≤ 30 °C), away from moisture and direct sunlight.
  • Keep out of reach of children; the original packaging includes child-resistant closures.
  • Do not use the medication after the expiry date printed on the pack.

Medication-Specific Glossary

Phosphodiesterase-4 (PDE4) Inhibitor
A drug that blocks the PDE4 enzyme, leading to increased cAMP levels and reduced inflammation in the airways.
cAMP (Cyclic Adenosine Monophosphate)
A cellular messenger that, when elevated, suppresses inflammatory cell activity and smooth-muscle contraction.
Exacerbation
A sudden worsening of respiratory symptoms that often requires additional therapy or hospitalization.
Child-Resistant Packaging
A container designed to be difficult for children under five to open, enhancing safety.

Medical Disclaimer

This article provides educational information about roflumilast and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Roflumilast is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
Categories
Waar kunt u Geestelijke Gezondheid veilig aanschaffen - Strattera atomoxetine kopen Prescription options for Sleep Aid Medication: - Buy Melatonin Hong Kong