Interazioni tra farmaci
Riociguat + Tadalafil
Gravità: Controindicata
Riociguat and Tadalafil: contraindicated interaction.
Ultimo aggiornamento
Per operatori sanitari — solo a scopo di riferimento. Questa pagina è una sintesi breve, non è un parere medico e non sostituisce il RCP ufficiale né il giudizio clinico. Verificare sempre prima di prescrivere o dispensare.
Il contenuto clinico di questa pagina è disponibile solo in inglese.
Sintesi
Riociguat combined with a PDE5 inhibitor such as tadalafil produces additive systemic vasodilation and symptomatic hypotension. In a pulmonary hypertension trial this combination showed no favorable benefit and raised safety concerns, and labeling prohibits it.
Cosa significa questa interazione in parole semplici
Riociguat 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.
Riociguat belongs to Cardiovascular; Tadalafil belongs to Genitourinary.
Perché avviene
Riociguat stimulates soluble guanylate cyclase to produce cGMP while tadalafil prevents its breakdown, causing additive vasodilation.
Cosa fare
Do not coadminister; choose one agent. When switching, follow labeled washout intervals between the drugs.
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?
Per gli utenti Pro+
Sblocca la pagina completa
Crei un account e avvii una prova di Pro+ per sbloccare le indicazioni complete sulla gestione di Riociguat e Tadalafil, le note aggiuntive, il dettaglio delle evidenze e il controllo delle interazioni per un'intera prescrizione.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Provi Pro+ gratis per 14 giorni sul web. Nessuna carta.
Altre interazioni di Tadalafil
- Amyl nitrite + Tadalafil Controindicata
- Isosorbide dinitrate + Tadalafil Controindicata
- Isosorbide mononitrate + Tadalafil Controindicata
- Nitroglycerin po + Tadalafil Controindicata
- Nitroglycerin rectal + Tadalafil Controindicata
- Nitroglycerin sublingual + Tadalafil Controindicata
Altre interazioni di Riociguat
- Avanafil + Riociguat Controindicata
- Dipyridamole + Riociguat Controindicata
- Isosorbide dinitrate + Riociguat Controindicata
- Isosorbide mononitrate + Riociguat Controindicata
- Nitroglycerin + Riociguat Controindicata
- Riociguat + Sildenafil Controindicata
Domande frequenti
Can I take Riociguat with Tadalafil?
MediHelp rates the interaction as contraindicated. Riociguat 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. Riociguat combined with a PDE5 inhibitor such as tadalafil produces additive systemic vasodilation and symptomatic hypotension. In a pulmonary hypertension trial this combination showed no favorable benefit and raised safety concerns, and labeling prohibits it.
How serious is the interaction between Riociguat 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: Do not coadminister; choose one agent. When switching, follow labeled washout intervals between the drugs.
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.
Monografie complete, posologie e verifica delle interazioni nell'app MediHelp
Apra il riferimento completo, verifichi le interazioni tra più farmaci e usi gli strumenti di posologia nell'app MediHelp.
