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相互作用

Riociguat + Vardenafil

重症度: 併用禁忌

Riociguat and Vardenafil: contraindicated interaction.

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概要

Riociguat stimulates soluble guanylate cyclase and vardenafil prevents cGMP degradation, which together produce severe additive hypotension. Labeling prohibits PDE5 inhibitors with riociguat.

この相互作用をわかりやすく説明すると

Riociguat and Vardenafil 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; Vardenafil belongs to Genitourinary.

エビデンスレベル: High

なぜ起こるのか

Increased cGMP synthesis plus reduced cGMP breakdown cause additive vasodilation.

対処法

Do not combine. Use a different treatment for erectile dysfunction in patients on riociguat.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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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、RiociguatとVardenafil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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よくある質問

Can I take Riociguat with Vardenafil?

MediHelp rates the interaction as contraindicated. Riociguat and Vardenafil 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 stimulates soluble guanylate cyclase and vardenafil prevents cGMP degradation, which together produce severe additive hypotension. Labeling prohibits PDE5 inhibitors with riociguat.

How serious is the interaction between Riociguat and Vardenafil?

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. Use a different treatment for erectile dysfunction in patients on riociguat.

What other medicines interact with Vardenafil?

MediHelp also lists interactions of Vardenafil with, for example, Amyl nitrite, Glyceryl trinitrate pr, Isosorbide dinitrate. The full list is on the Vardenafil 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。

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