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Interazioni tra farmaci

Riociguat + Theophylline

Gravità: Controindicata

Riociguat and Theophylline: contraindicated interaction.

Ultimo aggiornamento Fonti: US FDA label

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Sintesi

Riociguat is contraindicated with PDE inhibitors including nonspecific ones such as theophylline and dipyridamole. Combining them can cause additive vasodilation with symptomatic hypotension through increased cGMP signalling.

Cosa significa questa interazione in parole semplici

Riociguat and Theophylline 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; Theophylline belongs to Respiratory.

Livello di evidenza: Moderate

Perché avviene

Additive increases in cGMP: riociguat stimulates soluble guanylate cyclase while theophylline inhibits phosphodiesterases.

Cosa fare

Do not use together. Choose an alternative bronchodilator, or if theophylline is essential discuss options with the specialist and avoid riociguat.

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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Riferimenti

Domande frequenti

Can I take Riociguat with Theophylline?

MediHelp rates the interaction as contraindicated. Riociguat and Theophylline 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 is contraindicated with PDE inhibitors including nonspecific ones such as theophylline and dipyridamole. Combining them can cause additive vasodilation with symptomatic hypotension through increased cGMP signalling.

How serious is the interaction between Riociguat and Theophylline?

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 use together. Choose an alternative bronchodilator, or if theophylline is essential discuss options with the specialist and avoid riociguat.

What other medicines interact with Theophylline?

MediHelp also lists interactions of Theophylline with, for example, Adenosine, Apalutamide, Bupropion. The full list is on the Theophylline page.

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