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Interações medicamentosas

Nitroglycerin + Vardenafil

Gravidade: Contraindicada

Nitroglycerin and Vardenafil: 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.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Vardenafil greatly potentiates the vasodilating effect of nitrates and can cause profound, potentially fatal hypotension. The risk persists for many hours after the PDE5 inhibitor dose.

O que esta interação significa em palavras simples

Nitroglycerin 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.

Nitroglycerin belongs to Cardiovascular; Vardenafil belongs to Genitourinary.

Nível de evidência: High

Por que acontece

PDE5 inhibition increases cGMP, amplifying nitric oxide-mediated vasodilation from nitroglycerin.

O que fazer

Do not use nitrates in patients who have taken vardenafil within the previous 24 hours. In an emergency, use non-nitrate alternatives and give nitrates only under close hemodynamic monitoring after a safe interval.

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 Vardenafil?

MediHelp rates the interaction as contraindicated. Nitroglycerin 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. Vardenafil greatly potentiates the vasodilating effect of nitrates and can cause profound, potentially fatal hypotension. The risk persists for many hours after the PDE5 inhibitor dose.

How serious is the interaction between Nitroglycerin 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 use nitrates in patients who have taken vardenafil within the previous 24 hours. In an emergency, use non-nitrate alternatives and give nitrates only under close hemodynamic monitoring after a safe interval.

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.

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