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Pharmacy/nevibolol and sildenafil

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Question
sir whether nevibolol 2.5 mg in morning, metformin sr 500 mg or (rimonabant once in morningat) 6 pm and sildenafil 25 mg (thrice in week)at night 9.30 can have interaction  or harmful effect( mild hypertensive obese with mild diabetic)

Answer
Hi,
sildenafil acts by re;easing nitric oxide. Nevibolol also acts via nitric oxide modulation. I suspect there may be additive actions here and so I do not recommend the combination without first discussing it with your doctor.
Thank you for using Allexperts
Sincerely,
Eric Brandt, B.Sc. Pharm

Pharmacy

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Eric Brandt

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