Лекарственные взаимодействия
Nicorandil + Vardenafil
Тяжесть: Противопоказано
Nicorandil and Vardenafil: contraindicated interaction.
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Кратко
Nicorandil is a nitrate-like potassium channel opener, and PDE5 inhibitors greatly potentiate nitrate-induced vasodilation. The combination can cause profound, potentially life-threatening hypotension and is contraindicated with nitrates and guanylate cyclase pathway drugs.
Что означает это взаимодействие простыми словами
Nicorandil 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.
Nicorandil belongs to Cardiovascular; Vardenafil belongs to Genitourinary.
Почему это происходит
Nicorandil's nitric oxide donor activity raises cGMP while vardenafil blocks its breakdown, producing excessive vasodilation.
Что делать
Do not combine; choose an alternative anti-anginal if a PDE5 inhibitor is needed, or avoid the PDE5 inhibitor. If a nitrate-like drug is required, vardenafil should be avoided for a period after the last dose.
О чём спросить фармацевта
- 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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Другие взаимодействия Vardenafil
- Amyl nitrite + Vardenafil Противопоказано
- Glyceryl trinitrate pr + Vardenafil Противопоказано
- Isosorbide dinitrate + Vardenafil Противопоказано
- Isosorbide mononitrate + Vardenafil Противопоказано
- Nitroglycerin po + Vardenafil Противопоказано
- Nitroglycerin rectal + Vardenafil Противопоказано
Частые вопросы
Can I take Nicorandil with Vardenafil?
MediHelp rates the interaction as contraindicated. Nicorandil 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. Nicorandil is a nitrate-like potassium channel opener, and PDE5 inhibitors greatly potentiate nitrate-induced vasodilation. The combination can cause profound, potentially life-threatening hypotension and is contraindicated with nitrates and guanylate cyclase pathway drugs.
How serious is the interaction between Nicorandil 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; choose an alternative anti-anginal if a PDE5 inhibitor is needed, or avoid the PDE5 inhibitor. If a nitrate-like drug is required, vardenafil should be avoided for a period after the last dose.
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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