Nitrate-containing medications and phosphodiesterase-5 inhibitors

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 Minitran, Nitro-Dur, Nitrolingual Spray, Nitrostat).
  • Isosorbide mononitrate (such as Imdur).
  • Isosorbide dinitrate (such as Cedocard, Coronex).
  • Sodium nitroprusside (such as Nipride).
  • Amyl nitrite (sometimes called "poppers"), which are sometimes abused.

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



Author: Douglas Dana
Ralph Poore
Last Updated: August 24, 2006
Medical Review: Adam Husney, MD - Family Medicine
Tom Bailey, MD - Family Medicine
Christopher G. Wood, MD, FACS - Urology/Oncology

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