Quick Recall
A 59 yo man with a history of angina is given a prescription for an oral nitrate formulation (isosorbide dinitrate) 20 mg bid. A second agent that this patient should be warned "NOT" to take while on this oral nitrate formulation is:
- A. aspirin (low dose)
- B. St. John's wort
- C. metoprolol
- D. sildenafil
SUGGESTIVE. OF ...*D*.... ...SILDENAFIL. AS. THE. CONCOMITANT. USE. CAN. RESULT. IN... .... VERY. LOW. BLOOD. PRESSURE..
D—Sildnafil is contraindicated with isosarbide dinitrate, blood pressure will fall drastically leading to cardiovascular collapse
D-Sildenafil is contraindicated with isosarbide dinitrate, blood pressure will fall drastically leading to cardiovascular collapse
The correct answer is, "Sildenafil"
Sildanefil
Correct Ans. D
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