Amlodipine and olmesartan and Vardenafil Orally Disintegrating Tablets
Determining the interaction of Amlodipine and olmesartan and Vardenafil Orally Disintegrating Tablets and the possibility of their joint administration.
In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.
Consumer:Vardenafil can add to the blood pressure-lowering effect of amLODIPine. Contact your doctor if you experience signs and symptoms of low blood pressure such as dizziness, lightheadedness, fainting, flushing, headache, or a rapid pulse or heart rate. You may be more likely to experience these problems at the beginning of treatment, following a dose increase, or when treatment is restarted after an interruption. Avoid driving or operating hazardous machinery until you know how the medications affect you, and use caution when getting up from a sitting or lying position. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Professional:MONITOR: Phosphodiesterase-5 (PDE5) inhibitors may potentiate the blood pressure-lowering effect of antihypertensive medications. These agents inhibit PDE5-mediated degradation of cyclic guanosine monophosphate (cGMP), which in vascular smooth muscles can lead to peripheral vasodilation. When sildenafil 100 mg was coadministered with amlodipine 5 mg or 10 mg to hypertensive patients, the mean additional reduction on supine blood pressure (systolic/diastolic) was 8/7 mmHg. Likewise, in a group of patients whose hypertension was controlled with nifedipine slow-release 30 mg or 60 mg once daily, vardenafil 20 mg produced a mean additional supine blood pressure reduction of 6/5 mmHg compared to placebo. No significant alterations in the pharmacokinetics of nifedipine or vardenafil were observed. When coadministered with amlodipine 5 mg daily or enalapril 20 mg daily, a single 200 mg dose of avanafil produced additional reductions in blood pressure of 3 to 5 mmHg compared to placebo.
MANAGEMENT: Caution is advised if PDE5 inhibitors are prescribed in combination with antihypertensive agents. Patients receiving the combination should be advised to avoid rising abruptly from a sitting or recumbent position, especially following treatment initiation or a dosage increase, and to contact their doctor if they experience symptoms of hypotension such as dizziness, lightheadedness, fainting, or tachycardia.
- "Product Information. Stendra (avanafil)." Vivus Inc, Mountain View, CA.
- "Product Information. Levitra (vardenafil)." Bayer, West Haven, CT.
- "Product Information. Viagra (sildenafil)." Pfizer US Pharmaceuticals, New York, NY.
Generic Name: amlodipine / olmesartan
Brand name: Azor
Synonyms: Amlodipine and Olmesartan
Generic Name: vardenafil
Brand name: Levitra, Staxyn
Synonyms: Vardenafil
In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.
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