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Interazioni tra farmaci

Nitroglycerin rectal + Tadalafil

Gravità: Controindicata

Nitroglycerin rectal and Tadalafil: contraindicated interaction.

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Sintesi

Tadalafil markedly enhances the blood pressure lowering effect of rectal nitroglycerin. Severe hypotension may occur and the risk lasts well beyond the dose because of tadalafil's long half-life.

Cosa significa questa interazione in parole semplici

Nitroglycerin rectal and Tadalafil 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.

Livello di evidenza: High

Perché avviene

Additive cGMP-mediated vasodilation from nitric oxide donation and PDE5 inhibition.

Cosa fare

Avoid combination; keep nitrates at least 48 hours away from tadalafil. Use non-nitrate therapy within that window.

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 Nitroglycerin rectal with Tadalafil?

MediHelp rates the interaction as contraindicated. Nitroglycerin rectal and Tadalafil 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. Tadalafil markedly enhances the blood pressure lowering effect of rectal nitroglycerin. Severe hypotension may occur and the risk lasts well beyond the dose because of tadalafil's long half-life.

How serious is the interaction between Nitroglycerin rectal and Tadalafil?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combination; keep nitrates at least 48 hours away from tadalafil. Use non-nitrate therapy within that window.

What other medicines interact with Tadalafil?

MediHelp also lists interactions of Tadalafil with, for example, Amyl nitrite, Isosorbide dinitrate, Isosorbide mononitrate. The full list is on the Tadalafil page.

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