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Interazioni tra farmaci

Avanafil + Riociguat

Gravità: Controindicata

Avanafil and Riociguat: contraindicated interaction.

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Sintesi

Riociguat with avanafil may produce additive systemic vasodilation and symptomatic hypotension. PDE5 inhibitors are contraindicated with riociguat by labeling.

Cosa significa questa interazione in parole semplici

Avanafil and Riociguat are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Avanafil belongs to Genitourinary; Riociguat belongs to Cardiovascular.

Livello di evidenza: High

Perché avviene

Riociguat stimulates soluble guanylate cyclase to increase cGMP while avanafil inhibits its degradation, causing additive vasodilation.

Cosa fare

Do not coadminister; select one agent for the indication. Follow labeled washout intervals when switching.

Cosa chiedere al farmacista

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Domande frequenti

Can I take Avanafil with Riociguat?

MediHelp rates the interaction as contraindicated. Avanafil and Riociguat are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Riociguat with avanafil may produce additive systemic vasodilation and symptomatic hypotension. PDE5 inhibitors are contraindicated with riociguat by labeling.

How serious is the interaction between Avanafil and Riociguat?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not coadminister; select one agent for the indication. Follow labeled washout intervals when switching.

What other medicines interact with Avanafil?

MediHelp also lists interactions of Avanafil with, for example, Amyl nitrite, Atazanavir, Clarithromycin. The full list is on the Avanafil page.

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