Nitrate-containing medications and phosphodiesterase-5 inhibitors

Provided by: Healthwise
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Phosphodiesterase-5 inhibitors, such as Viagra, Levitra, or Cialis, have revolutionized the treatment of erection problems (erectile dysfunction). However, they can cause life-threatening side effects for anyone who also takes nitroglycerin or another medication containing an organic nitrate. This combination can make your blood pressure fall too low, possibly leading to a stroke, a heart attack, or death.

Medications that contain organic nitrates include:

  • Nitroglycerin (such as Deponit, Minitran, Nitrek, Nitrodisc, Nitro-Dur, Nitroglyn, Nitrolingual Spray, Nitrostat).
  • Isosorbide mononitrate (such as Imdur, ISMO, Monoket Tablets).
  • Isosorbide dinitrate (such as Dilatrate-SR, Isordil, Sorbitrate).
  • Pentaerythritol tetranitrate (such as Duotrate, Peritrate, Tetraneed).
  • Sodium nitroprusside (such as Nipride, Nitropress).
  • Amyl nitrite (sometimes called "poppers"), which are sometimes abused.

Nitrates found in foods are not a danger when taking phosphodiesterase-5 inhibitors.

Credits

Author Ralph Poore
Editor Kathleen M. Ariss, MS
Associate Editor Pat Truman
Associate Editor Terrina Vail
Primary Medical Reviewer Adam Husney, MD
- Family Medicine
Primary Medical Reviewer E. Gregory Thompson, MD
- Internal Medicine
Specialist Medical Reviewer Christopher G. Wood, MD, FACS
- Urology/Oncology
Last Updated June 13, 2006
Last Updated: 06/13/2006

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