Nitroglycerin interactions
Nitroglycerin (Nitrostat, Nitro-Dur, Nitrolingual), a nitrate has 131 documented interactions across the FDA labels and fact sheets we index: 13 major, 111 moderate, 7 minor, and 0 where a label reports no significant interaction. Each entry below quotes the sentence behind it. This drug page is a starting point, not a verdict for your situation.
Interactions from the label
Major interactions (13)
Use of phosphodiesterase type 5 (PDE-5) Inhibitors, such as avanafil, sildenafil, tadalafil, or vardenafil, or soluble guanylate cyclase (sGC) stimulator (riociguat). (Nitroglycerin label, Contraindications)
Therefore, patients receiving sublingual nitroglycerin should avoid ergotamine and related drugs or be monitored for symptoms of ergotism if this is not possible. (Nitroglycerin label, Drug interactions)
Therefore, patients receiving sublingual nitroglycerin should avoid ergotamine and related drugs or be monitored for symptoms of ergotism if this is not possible. (Nitroglycerin label, Drug interactions)
Therefore, patients receiving sublingual nitroglycerin should avoid ergotamine and related drugs or be monitored for symptoms of ergotism if this is not possible. (Nitroglycerin label, Drug interactions)
Therefore, patients receiving sublingual nitroglycerin should avoid ergotamine and related drugs or be monitored for symptoms of ergotism if this is not possible. (Nitroglycerin label, Drug interactions)
Hypersensitivity to Nitroglycerin Lingual Spray or to other nitrates or nitrites or any excipient. (Nitroglycerin label, Contraindications)
Hypersensitivity to Nitroglycerin Lingual Spray or to other nitrates or nitrites or any excipient. (Nitroglycerin label, Contraindications)
Hypersensitivity to Nitroglycerin Lingual Spray or to other nitrates or nitrites or any excipient. (Nitroglycerin label, Contraindications)
Therefore, patients receiving sublingual nitroglycerin should avoid ergotamine and related drugs or be monitored for symptoms of ergotism if this is not possible. (Nitroglycerin label, Drug interactions)
Use of phosphodiesterase type 5 (PDE-5) Inhibitors, such as avanafil, sildenafil, tadalafil, or vardenafil, or soluble guanylate cyclase (sGC) stimulator (riociguat). (Nitroglycerin label, Contraindications)
Use of phosphodiesterase type 5 (PDE-5) Inhibitors, such as avanafil, sildenafil, tadalafil, or vardenafil, or soluble guanylate cyclase (sGC) stimulator (riociguat). (Nitroglycerin label, Contraindications)
Use of phosphodiesterase type 5 (PDE-5) Inhibitors, such as avanafil, sildenafil, tadalafil, or vardenafil, or soluble guanylate cyclase (sGC) stimulator (riociguat). (Nitroglycerin label, Contraindications)
Use of phosphodiesterase type 5 (PDE-5) Inhibitors, such as avanafil, sildenafil, tadalafil, or vardenafil, or soluble guanylate cyclase (sGC) stimulator (riociguat). (Nitroglycerin label, Contraindications)
Moderate interactions (111)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Hypotension Adenosine injection is a potent peripheral vasodilator and can induce significant hypotension. (Adenosine label, Warnings and precautions)
Postural hypotension/syncope: Care should be taken in patients with symptomatic hypotension or who have had a hypotensive response to other medications or are concomitantly treated with antihypertensive medication or nitrates ( 5.1 ) (Alfuzosin label, Warnings and precautions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Examples of Drugs Associated with Methemoglobinemia: Class Examples Nitrates/Nitrites nitric oxide, nitroglycerin, nitroprusside, nitrous oxide Local anesthetics articaine, benzocaine, bupivacaine, lidocaine, mepivacaine, prilocaine, procaine, ropivacaine, tetracaine Antineoplastic agents cyclophosphamide, flutamide, hydroxyurea, ifosfamide, rasburicase Antibiotics… (Articaine and epinephrine label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives Patients receiving antihypertensive drugs, beta-adrenergic blockers, and nitrates should be observed for possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
• Drugs Associated with Methemoglobinemia : Patients are at increased risk of developing methemoglobinemia when concurrently exposed to nitrates, nitrites, local anesthetics, antineoplastic agents, antibiotics, antimalarials, anticonvulsants, and other drugs. (Bupivacaine label, Drug interactions)
Examples of Drugs Associated with Methemoglobinemia: Class Examples Nitrates/Nitrites nitric oxide, nitroglycerin, nitroprusside, nitrous oxide Local anesthetics articaine, benzocaine, bupivacaine, lidocaine, mepivacaine, prilocaine, procaine, ropivacaine, tetracaine Antineoplastic agents cyclophosphamide, flutamide, hydroxyurea, ifosfamide, rasburicase Antibiotics… (Bupivacaine and epinephrine label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
…concurrently exposed to the following drugs, which could include other local anesthetics: Examples of Drugs Associated with Methemoglobinemia: Class Examples Nitrates/Nitrites nitric oxide, nitroglycerin, nitroprusside, nitrous oxide Local anesthetics articaine, benzocaine, bupivacaine, lidocaine, mepivacaine, prilocaine, procaine, ropivacaine, tetracaine Antineoplastic… (Chloroprocaine label, Precautions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
• Co-administration with Other Vasodilators or Negative Chronotropic Agents : Use with caution due to additive pharmacodynamic effects. (Dexmedetomidine label, Warnings and precautions)
…drugs including dicyclomine hydrochloride: amantadine, antiarrhythmic agents of Class I (e.g., quinidine), antihistamines, antipsychotic agents (e.g., phenothiazines), benzodiazepines, MAO inhibitors, narcotic analgesics (e.g., meperidine), nitrates and nitrites, sympathomimetic agents, tricyclic antidepressants, and other drugs having anticholinergic activity. (Dicyclomine label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
…oral anticoagulants, calcium channel blockers, beta blockers, cardiac glycosides, inducers of CYP3A4, substrates and inhibitors of CYP3A4, substrates and inhibitors of P-glycoprotein, nitrates, sulphonylureas, loop diuretics, potassium sparing diuretics, thiazide diuretics, substrates and inhibitors of tubular organic cation transport, and QTc-prolonging drugs. (Dofetilide label, Drug interactions)
Antihypertensives Patients receiving antihypertensive drugs, beta-adrenergic blockers, and nitrates should be observed for possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Most cases reported product application with use under occlusion, genital application, or application to a large body surface area which may increase the systemic absorption of econazole nitrate. (Econazole label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Additional reductions in blood pressure may occur when VELETRI is administered with diuretics, antihypertensive agents, or other vasodilators. (Epoprostenol label, Drug interactions)
Antihypertensives Patients receiving antihypertensive drugs, beta-adrenergic blockers, and nitrates should be observed for possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Co-administration of vaginal miconazole nitrate and Etonogestrel/Ethinyl Estradiol Vaginal Ring increases the serum concentrations of etonogestrel and ethinyl estradiol by up to 40% [see Clinical Pharmacology (12.3) ] . (Etonogestrel and ethinyl estradiol label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Intravenous nitroglycerin administered to heparinized patients may result in a decrease of the partial thromboplastin time with subsequent rebound effect upon discontinuation of nitroglycerin. (Heparin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Examples of Drugs Associated with Methemoglobinemia: Class Examples Nitrates/Nitrites nitric oxide, nitroglycerin, nitroprusside, nitrous oxide Local anesthetics articaine, benzocaine, bupivacaine, lidocaine, mepivacaine, prilocaine, procaine, ropivacaine, tetracaine Antineoplastic agents cyclophosphamide, flutamide, hydroxyurea, isofamide, rasburicase Antibiotics… (Lidocaine and epinephrine label, Drug interactions)
…concurrently exposed to the following drugs, which could include other local anesthetics: Examples of Drugs Associated with Methemoglobinemia: Class Examples Nitrates/Nitrites nitric oxide, nitroglycerin, nitroprusside, nitrous oxide Local anesthetics articaine, benzocaine, bupivacaine, lidocaine, mepivacaine, prilocaine, procaine, ropivacaine, tetracaine Antineoplastic… (Lidocaine and prilocaine label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
…when concurrently exposed to the following drugs, which could include other local anesthetics: Examples of Drugs Associated with Methemoglobinemia: Class Examples Nitrates/Nitrites nitroglycerin, nitroprusside, nitric oxide, nitrous oxide Local anesthetics articaine, benzocaine, bupivacaine, lidocaine, mepivacaine, prilocaine, procaine, ropivacaine, tetracaine… (Mepivacaine label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
- NiacinModerate
Caution should also be used when niacin extended-release tablets are used in patients with unstable angina or in the acute phase of an MI, particularly when such patients are also receiving vasoactive drugs such as nitrates, calcium channel blockers, or adrenergic blocking agents. (Niacin label, Warnings and precautions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Marked orthostatic hypotension has been reported when calcium channel blockers and organic nitrates were used concomitantly. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
…concurrently exposed to the following drugs, which could include other local anesthetics: EXAMPLES OF DRUGS ASSOCIATED WITH METHEMOGLOBINEMIA: Class Examples Nitrates/Nitrites nitric oxide, nitroglycerin, nitroprusside, nitrous oxide Local anesthetics articaine, benzocaine, bupivacaine, lidocaine, mepivacaine, prilocaine, procaine, ropivacaine, tetracaine Antineoplastic… (Prilocaine and epinephrine label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
…which could include other local anesthetics [see Warnings and Precautions ( 5.4 )] : Examples of Drugs Associated with Methemoglobinemia Class Examples Nitrates/Nitrites nitric oxide, nitroglycerin, nitroprusside, nitrous oxide Local anesthetics articaine, benzocaine, bupivacaine, lidocaine, mepivacaine, prilocaine, procaine, ropivacaine, tetracaine Antineoplastic… (Ropivacaine label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives Patients receiving antihypertensive drugs, beta-adrenergic blockers, and nitrates should be observed for possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives Patients receiving antihypertensive drugs, beta-adrenergic blockers, and nitrates should be observed for possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Antihypertensives: Possible additive hypotensive effects. (Nitroglycerin label, Drug interactions)
Minor mentions (7)
Alpha-adrenergic antagonists and PDE-5 inhibitors are both vasodilators that can lower blood pressure. (Dutasteride and tamsulosin label, Warnings and precautions)
Drugs antagonizing pressor effects of epinephrine α-blockers, such as phentolamine Vasodilators, such as nitrates Diuretics Antihypertensives Ergot alkaloids Drugs potentiating pressor effects of epinephrine • Sympathomimetics • β-blockers, such as propranolol • Tricyclic anti-depressants • Monoamine oxidase (MAO) inhibitors • Catechol-O-methyl transferase (COMT)… (Epinephrine label, Drug interactions)
…acetylsalicylic acid, α-blockers, angiotensin-converting enzyme (ACE) inhibitors, analgesics, anti-convulsants, beta-adrenergic blocking agents, diuretics, calcium channel blockers, cardiac nitrates, HMG-CoA reductase inhibitors, nonsteroidal anti-inflammatory drugs (NSAIDs), benzodiazepines, H 2 antagonists and quinolone anti-infectives without evidence of clinically… (Finasteride label, Drug interactions)
Post injury arterial injection of vasodilators and/or arterial infusion of parenteral fluids are generally regarded to be of no value in altering outcome. (Methohexital label, Warnings)
…been observed in limited experience with patients in whom milrinone was used concurrently with the following drugs: digitalis glycosides; lidocaine, quinidine; hydralazine, prazosin; isosorbide dinitrate, nitroglycerin; chlorthalidone, furosemide, hydrochlorothiazide, spironolactone; captopril; heparin, warfarin, diazepam, insulin; and potassium supplements. (Milrinone label, Drug interactions)
Alpha-adrenergic blockers and PDE5 inhibitors are both vasodilators that can lower blood pressure. (Silodosin label, Warnings and precautions)
Alpha-adrenergic blockers and PDE5 inhibitors are both vasodilators that can lower blood pressure. (Tamsulosin label, Warnings and precautions)
Check Nitroglycerin against everything you take. Add your full list; every pair is checked at once.
Open in the checkerNot medical advice. Severity reflects the label's wording, not your circumstances. A "major" flag can be routine under supervision and a "minor" one can matter at high doses. Ask a pharmacist.