Pentoxifylline ER 400 A Comprehensive Overview
Pentoxifylline is a medication that has garnered attention for its ability to improve blood flow and reduce symptoms in various circulatory disorders. The extended-release formulation, Pentoxifylline ER 400 mg, provides a convenient dosage structure that enhances patient compliance and therapeutic efficacy. This article explores the indications, mechanism of action, dosage recommendations, side effects, and potential benefits associated with Pentoxifylline ER 400.
Pharmacological Background
Pentoxifylline belongs to a class of drugs known as xanthine derivatives. Originally developed to treat intermittent claudication - a condition characterized by leg pain due to insufficient blood flow - Pentoxifylline has been shown to have a range of applications in various vascular diseases. The extended-release formula enables a more steady release of the drug into the bloodstream, allowing for once-daily dosing and minimizing the frequency of administration.
Mechanism of Action
The primary mechanism by which Pentoxifylline exerts its therapeutic effects is through the modulation of blood viscosity. It reduces the thickness of the blood, making it easier for red blood cells to pass through narrow blood vessels. This improved blood flow is crucial for tissues that are inadequately perfused, providing them with the oxygen and nutrients they require. Furthermore, Pentoxifylline has anti-inflammatory properties, which contribute to its effectiveness in managing various conditions characterized by vascular inflammation.
Indications
Pentoxifylline ER 400 is primarily indicated for the treatment of intermittent claudication. Patients suffering from this condition often experience pain and cramping in the legs during activities such as walking, due to inadequate blood flow. By improving circulation, Pentoxifylline helps alleviate these symptoms, enhancing the patient’s quality of life and ability to engage in physical activities.
In addition to its use in intermittent claudication, Pentoxifylline has been studied for other applications, including
pentoxifylline er 400

1. Diabetic Foot Ulcers Several studies have indicated that Pentoxifylline can promote healing in patients with diabetic foot ulcers by enhancing microcirculation. 2. Chronic Venous Insufficiency It may also provide symptom relief for patients suffering from venous disorders, enhancing overall venous hemodynamics.
3. Peripheral Artery Disease Patients with peripheral artery disease (PAD) may also benefit from Pentoxifylline, as it helps improve walking distance and decrease pain.
Dosage and Administration
The standard starting dose for Pentoxifylline ER 400 is one tablet taken orally, typically once a day, with or without food. Dose adjustments may be made based on the patient's response to treatment and tolerance of side effects. It is crucial for patients to follow their healthcare provider's instructions regarding dosing to ensure optimal therapeutic outcomes.
Side Effects
Like all medications, Pentoxifylline ER 400 can cause side effects. Commonly reported adverse reactions include gastrointestinal disturbances such as nausea, vomiting, and diarrhea. Patients may also experience dizziness, headache, or skin rash. While serious side effects are rare, they can occur, including hypotension and serious allergic reactions. Patients should contact their healthcare provider if they experience symptoms such as chest pain, shortness of breath, or swelling, as these may indicate severe complications.
Conclusion
Pentoxifylline ER 400 represents an important therapeutic option for patients afflicted with circulatory disorders, particularly those experiencing intermittent claudication. Its unique mechanism of action and the convenience of the extended-release formulation make it an effective choice in managing symptoms associated with inadequate blood flow. While side effects may occur, the benefits of improved circulation and enhanced quality of life for many patients are significant. As always, patients should engage in informed discussions with their healthcare providers to determine whether Pentoxifylline ER 400 is appropriate for their specific condition and to develop a tailored treatment plan.