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Interações medicamentosas

Nitroglycerin + Riociguat

Gravidade: Contraindicada

Nitroglycerin and Riociguat: contraindicated interaction.

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Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

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Resumo

Riociguat stimulates soluble guanylate cyclase and nitrates supply nitric oxide, producing additive vasodilation. Severe, potentially life-threatening hypotension can result. Labeling contraindicates concomitant use of riociguat with nitrates in any form.

O que esta interação significa em palavras simples

Nitroglycerin 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.

Nitroglycerin belongs to Cardiovascular; Riociguat belongs to Cardiovascular.

Nível de evidência: High

Por que acontece

Additive cGMP-mediated vasodilation from nitric oxide donation and soluble guanylate cyclase stimulation.

O que fazer

Do not co-administer. Use a non-nitrate option for angina or acute needs while on riociguat.

O que perguntar ao farmacêutico

  • 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?

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Perguntas frequentes

Can I take Nitroglycerin with Riociguat?

MediHelp rates the interaction as contraindicated. Nitroglycerin 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. Riociguat stimulates soluble guanylate cyclase and nitrates supply nitric oxide, producing additive vasodilation. Severe, potentially life-threatening hypotension can result. Labeling contraindicates concomitant use of riociguat with nitrates in any form.

How serious is the interaction between Nitroglycerin 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. Use a non-nitrate option for angina or acute needs while on riociguat.

What other medicines interact with Nitroglycerin?

MediHelp also lists interactions of Nitroglycerin with, for example, Avanafil, Sildenafil, Tadalafil. The full list is on the Nitroglycerin page.

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