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What medications interact with ranolazine?

By Sophia Dalton

What medications interact with ranolazine?

Do not use ranolazine together with carbamazepine (Tegretol®), clarithromycin (Biaxin®), nefazodone (Serzone®), phenobarbital, phenytoin (Dilantin®), rifabutin (Mycobutin®), rifampin (Rifadin®, Rimactane®), rifapentine (Priftin®), medicine to treat fungus infections (eg, itraconazole, ketoconazole, Nizoral®, Sporanox®) …

Why nitrates are contraindicated in PDE5 inhibitors?

Administration of a nitric oxide donor with a PDE5 inhibitor can evoke a large build-up of cGMP, marked vasodilation, and in some patients frank hypotension (1). Thus, organic nitrate use remains an absolute contraindication to the use of PDE5 inhibitors.

Is sildenafil contraindicated with nitroglycerin?

Using sildenafil together with nitroglycerin is not recommended. Combining these medications may cause blood pressure to fall excessively, which can lead to cardiovascular collapse.

Can I take atorvastatin with ranolazine?

Interactions between your drugs Ranolazine may significantly increase the blood levels of atorvastatin. This can increase the risk of side effects such as liver damage and a rare but serious condition called rhabdomyolysis that involves the breakdown of skeletal muscle tissue.

Does ranolazine affect blood pressure?

Additionally, ranolazine has beneficial metabolic properties and does not affect heart rate or blood pressure.

Which medication is most likely to interact with a PDE5 inhibitor?

PDE5 inhibitors can interact with nitrates — a class of prescription medications that are used to treat heart conditions such as angina. Using a PDE5 inhibitor at the same time as a nitrate can cause a sudden, significant and potentially dangerous drop in your blood pressure.

What medications are contraindicated when a male client is taking a PDE 5 inhibitor?

PDE-5 inhibitors are contraindicated in men taking nitrates for chest pain since these agents potentiate the effect of nitrates and may cause life-threatening hypotension. Caution should be taken when co-administering PDE-5 inhibitors with alpha-blockers as hypotension may occur when taken together.

Can you take Viagra with AFIB?

On the whole, Viagra can be considered safe with almost all of your cardiac medications. Unfortunately, the combination of Viagra with nitrates should never be considered safe. Together they can cause life threatening hypotension, also known as low blood pressure.

What drugs are contraindicated with sildenafil?

do not take sildenafil if you are taking or have recently taken riociguat (Adempas) or nitrates (medications for chest pain) such as isosorbide dinitrate (Isordil), isosorbide mononitrate (Monoket), and nitroglycerin (Minitran, Nitro-Dur, Nitromist, Nitrostat, others).