相互作用
Isosorbide dinitrate + Riociguat
重症度: 併用禁忌
Isosorbide dinitrate and Riociguat: contraindicated interaction.
最終更新日
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概要
Both drugs increase cyclic GMP signalling in vascular smooth muscle, and together they can cause profound, sometimes refractory hypotension and syncope. Riociguat labeling contraindicates its use with nitrates in any form.
この相互作用をわかりやすく説明すると
Isosorbide dinitrate 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.
Isosorbide dinitrate belongs to Cardiovascular; Riociguat belongs to Cardiovascular.
なぜ起こるのか
Nitrates release nitric oxide while riociguat stimulates soluble guanylate cyclase, producing additive cGMP-mediated vasodilation.
対処法
Do not co-administer riociguat with isosorbide dinitrate or other nitrates. Choose a non-nitrate antianginal if one is needed.
薬剤師に尋ねること
- 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?
Pro+会員向け
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アカウントを作成してPro+トライアルを始めると、Isosorbide dinitrateとRiociguatの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
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Isosorbide dinitrateのその他の相互作用
Riociguatのその他の相互作用
よくある質問
Can I take Isosorbide dinitrate with Riociguat?
MediHelp rates the interaction as contraindicated. Isosorbide dinitrate 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. Both drugs increase cyclic GMP signalling in vascular smooth muscle, and together they can cause profound, sometimes refractory hypotension and syncope. Riociguat labeling contraindicates its use with nitrates in any form.
How serious is the interaction between Isosorbide dinitrate 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 co-administer riociguat with isosorbide dinitrate or other nitrates. Choose a non-nitrate antianginal if one is needed.
What other medicines interact with Isosorbide dinitrate?
MediHelp also lists interactions of Isosorbide dinitrate with, for example, Avanafil, Sildenafil, Tadalafil. The full list is on the Isosorbide dinitrate page.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
