Patients with kidney disease taking Viagra (sildenafil) need careful monitoring due to potential interactions with commonly prescribed medications. Sildenafil is primarily metabolized by the liver, but the kidneys play a role in its excretion. Reduced kidney function can lead to slower elimination, increasing the risk of side effects.
Several classes of drugs for kidney disease merit special attention:
| ACE Inhibitors (e. g., lisinopril, ramipril) | Increased risk of hypotension (low blood pressure). | Monitor blood pressure closely. Your doctor may adjust dosages. |
| Angiotensin Receptor Blockers (ARBs) (e. g., losartan, valsartan) | Similar to ACE inhibitors; increased risk of hypotension. | Blood pressure monitoring is crucial. Dosage adjustments may be necessary. |
| Diuretics (e. g., furosemide, hydrochlorothiazide) | Increased risk of dehydration and hypotension. | Ensure adequate hydration. Your doctor may need to adjust diuretic dosage. |
| Nitrate Medications (e. g., nitroglycerin) | Severe hypotension is possible. This combination is generally contraindicated. | Do not take Viagra with nitrate medications without consulting a doctor. |
| Potassium-sparing diuretics (e. g., spironolactone, amiloride) | Increased risk of hyperkalemia (high potassium levels). | Regular potassium level checks are advised. |
Always inform your doctor and pharmacist about all medications, including over-the-counter drugs and supplements, you are taking. They can assess the potential for interactions and recommend the safest course of treatment. Open communication is key to managing your health effectively.
This information is for educational purposes only and does not constitute medical advice. Always consult with your healthcare provider before starting, stopping, or changing any medication.
