A patient who takes nitroglycerine to treat stable angina reports having erectile dysfunction and states that he plans to ask his primary provider for a prescription for tadalafil [Cialis]. What will the nurse tell this patient?
a. "You may take these two drugs together safely as long as you take them as di-rected."
b. "You should not take tadalafil and nitrog-lycerine within 30 to 60 minutes of each other."
c. "You should discuss another anti-angina medication with your provider."
d. "You should avoid sexual activity since this increases oxygen demands on the heart."
C
Use of nitroglycerine with any phosphodiesterase type 5 inhibitor, such as sildenafil or tadalafil is absolutely contraindicated. The patient should be advised to discuss another antianginal agent with the provider. Patients should be taught to increase all activity to maintain as normal a life-style as possible.
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