Interazioni tra farmaci
Glyceryl trinitrate pr + Sildenafil
Gravità: Controindicata
Glyceryl trinitrate pr and Sildenafil: contraindicated interaction.
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Sintesi
Sildenafil markedly potentiates the hypotensive effect of nitrates, including rectal glyceryl trinitrate. Profound and potentially fatal hypotension, syncope or myocardial ischemia can occur.
Cosa significa questa interazione in parole semplici
Glyceryl trinitrate pr and Sildenafil 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.
Perché avviene
Nitrates raise cGMP via nitric oxide and sildenafil blocks its breakdown by PDE5, causing exaggerated vasodilation.
Cosa fare
Do not combine. If a nitrate is needed after sildenafil, withhold it for at least 24 hours and give only under medical supervision.
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?
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Altre interazioni di Sildenafil
- Amyl nitrite + Sildenafil Controindicata
- Atazanavir + Sildenafil Controindicata
- Cobicistat + Sildenafil Controindicata
- Elvitegravir / cobicistat / emtricitabine / tenofovir df + Sildenafil Controindicata
- Isosorbide dinitrate + Sildenafil Controindicata
- Isosorbide mononitrate + Sildenafil Controindicata
Domande frequenti
Can I take Glyceryl trinitrate pr with Sildenafil?
MediHelp rates the interaction as contraindicated. Glyceryl trinitrate pr and Sildenafil 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. Sildenafil markedly potentiates the hypotensive effect of nitrates, including rectal glyceryl trinitrate. Profound and potentially fatal hypotension, syncope or myocardial ischemia can occur.
How serious is the interaction between Glyceryl trinitrate pr and Sildenafil?
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 combine. If a nitrate is needed after sildenafil, withhold it for at least 24 hours and give only under medical supervision.
What other medicines interact with Sildenafil?
MediHelp also lists interactions of Sildenafil with, for example, Amyl nitrite, Atazanavir, Cobicistat. The full list is on the Sildenafil page.
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