Fildena 100 mg, containing sildenafil citrate, interacts with certain medications and medical conditions, leading to contraindications or precautions. Here are some medications contraindicated with Fildena 100 mg:
Nitrate medications: Fildena 100 mg should not be taken with nitrates or nitric oxide donors, such as nitroglycerin, isosorbide dinitrate, or isosorbide mononitrate. Concomitant use can lead to a sudden and severe decrease in blood pressure, which may result in dizziness, fainting, or even a heart attack or stroke.
Riociguat: Riociguat, a medication used to treat pulmonary arterial hypertension (PAH), should not be used with Fildena 100 mg due to the risk of hypotension.
Alpha-blockers: Medications used to treat high blood pressure or prostate conditions, such as doxazosin, tamsulosin, or terazosin, may interact with Fildena 100 leading to symptomatic hypotension.
Certain antifungal medications: Azole antifungal medications like ketoconazole and itraconazole can increase sildenafil levels in the blood, leading to an increased risk of side effects. Other antifungal medications like fluconazole may also interact with sildenafil.
Certain antibiotics: Macrolide antibiotics like erythromycin and clarithromycin can increase sildenafil levels in the blood, increasing the risk of side effects. Other antibiotics like ciprofloxacin may also interact with sildenafil.
HIV protease inhibitors: Some medications used to treat HIV/AIDS, such as ritonavir and saquinavir, can increase sildenafil levels in the blood, leading to an increased risk of side effects.
Grapefruit juice: Grapefruit juice may interact with sildenafil and increase its levels in the blood, increasing the risk of side effects. It's advisable to avoid consuming grapefruit or grapefruit juice while taking Fildena 100 mg.
It's crucial to inform your healthcare provider about all medications you are taking, including prescription, over-the-counter, and herbal supplements, before starting treatment with Fildena 100 mg. Your healthcare provider can assess the potential for drug interactions and adjust your treatment plan accordingly to ensure your safety and optimize treatment outcomes.