Nitroglycerin has 67 known drug interactions based on U.S. FDA drug labeling data. Of these, 11 are contraindicated combinations that should be avoided entirely. 39 are classified as major interactions requiring close medical supervision. Notable interactions include combinations with Avanafil, Ergotamine, Follitropin. Patients taking Nitroglycerin should inform their healthcare provider of all current medications — including over-the-counter drugs and supplements — to avoid potentially harmful combinations. Data sourced from OpenFDA and the NIH National Library of Medicine.
- Total
- 67
- Contraindicated
- 11
- Major
- 39
- Moderate
- 16
- Minor
- 1
Contraindicated (11)
- Nitroglycerin + Avanafil— PDE-5 inhibitor that potentiates hypotensive effects of nitroglycerin. Contraindicated with nitroglycerin.
- Nitroglycerin + Ergotamine— Nitroglycerin markedly decreases first-pass metabolism of ergotamine, increasing bioavailability. Ergotamine can precipi…
- Nitroglycerin + Follitropin— Soluble guanylate cyclase stimulators cause severe hypotension when used with nitroglycerin. Concomitant use is contrain…
- Nitroglycerin + Mao Inhibitors— Concomitant use of nitroglycerin with phosphodiesterase inhibitors in any form is contraindicated.
- Nitroglycerin + Riociguat— Concomitant use of nitroglycerin with riociguat, a soluble guanylate cyclase stimulator, is contraindicated.
- Nitroglycerin + Sildenafil— PDE-5 inhibitor that potentiates hypotensive effects of nitroglycerin. Contraindicated with nitroglycerin.
- Nitroglycerin + Sildenafil Citrate— Concomitant use is contraindicated; PDE-5 inhibitors potentiate hypotensive effects of organic nitrates.
- Nitroglycerin + Soluble Guanylate Cyclase (Sgc) Stimulators— sGC stimulators are contraindicated with nitroglycerin. Concomitant use can cause severe hypotension.
- Nitroglycerin + Tadalafil— PDE-5 inhibitor that potentiates hypotensive effects of nitroglycerin. Contraindicated with nitroglycerin.
- Nitroglycerin + Vardenafil— PDE-5 inhibitor that potentiates hypotensive effects of nitroglycerin. Contraindicated with nitroglycerin.
- Nitroglycerin + Vardenafil Hydrochloride— Concomitant use of vardenafil hydrochloride and nitroglycerin is contraindicated. Vardenafil potentiates the blood press…
Major (39)
- Nitroglycerin + Alcohol— Concomitant use may cause hypotension.
- Nitroglycerin + Alteplase— Intravenous nitroglycerin decreases the thrombolytic effect of alteplase; caution advised with sublingual nitroglycerin …
- Nitroglycerin + Apomorphine Hydrochloride— Concomitant use causes greater decreases in blood pressure compared to apomorphine alone, with risk of hypotension, myoc…
- Nitroglycerin + Articaine Hydrochloride And Epinephrine— Increased risk of methemoglobinemia when concurrently exposed to articaine.
- Nitroglycerin + Articaine Hydrochloride And Epinephrine Bitartrate— Increased risk of developing methemoglobinemia when concurrently exposed to this nitrate.
- Nitroglycerin + Benzocaine, Butamben, And Tetracaine Hydrochloride— Increased risk of methemoglobinemia when concurrently exposed to this nitrate oxidizing agent with local anesthetics.
- Nitroglycerin + Bupivacaine And Meloxicam— Increased risk of methemoglobinemia when local anesthetics are used concomitantly with nitrates/nitrites.
- Nitroglycerin + Bupivacaine Hydrochloride— Increased risk of methemoglobinemia when concurrently exposed with bupivacaine.
- Nitroglycerin + Calcium Channel Blockers— Marked symptomatic orthostatic hypotension reported when combined with organic nitrates. Dose adjustments of either clas…
- Nitroglycerin + Dapsone— Induces methemoglobinemia; concomitant use may increase risk for developing methemoglobinemia.
- Nitroglycerin + Dapsone Gel, 5%— Concomitant use may increase risk of developing methemoglobinemia. Monitor closely.
- Nitroglycerin + Dexamethasone Sodium Phosphate, Lidocaine Hydrochloride, Povidine Iodine— Increased risk of methemoglobinemia when used with ropivacaine.
- Nitroglycerin + Dihydroergotamine— Oral nitroglycerin markedly decreases first-pass metabolism and increases bioavailability of dihydroergotamine; monitor …
- Nitroglycerin + Heparin— Intravenous nitroglycerin interferes with the anticoagulant effect of heparin in some patients. Concomitant heparin ther…
- Nitroglycerin + Heparin Sodium— Intravenous nitroglycerin may decrease partial thromboplastin time with rebound effect upon discontinuation. Careful mon…
- Nitroglycerin + Lidocaine— Increased risk of methemoglobinemia when used concurrently with lidocaine.
- Nitroglycerin + Lidocaine 5%— Nitrate that may cause methemoglobinemia when used concomitantly with lidocaine patch 5%.
- Nitroglycerin + Lidocaine And Capsaicin— Nitrate drug that increases risk of methemoglobinemia when used concurrently with lidocaine and capsaicin patch.
- Nitroglycerin + Lidocaine And Prilocaine— Nitrate/nitrite; increased risk of methemoglobinemia when concurrently exposed.
- Nitroglycerin + Lidocaine Hydrochloride— Increased risk of methemoglobinemia when used concurrently with lidocaine hydrochloride.
- Nitroglycerin + Lidocaine Hydrochloride And Epinephrine Bitartrate— Associated with methemoglobinemia risk when concurrent exposure occurs with local anesthetics.
- Nitroglycerin + Lidocaine Hydrochloride And Hydrocortisone Acetate— Increased risk of methemoglobinemia when local anesthetic is concurrently exposed to nitrates/nitrites.
- Nitroglycerin + Lidocaine Hydrochloride Monohydrate— Concurrent exposure increases risk of methemoglobinemia in patients administered local anesthetics.
- Nitroglycerin + Lidocaine Patch 5%— Increased risk of methemoglobinemia when concurrently exposed; nitrates/nitrites may cause methemoglobinemia when used w…
- Nitroglycerin + Lidocaine, Isopropyl Alcohol— Increased risk of methemoglobinemia when used with lidocaine.
- Nitroglycerin + Lidocaine, Menthol— Increased risk of methemoglobinemia when lidocaine is concurrently exposed to nitrates.
- Nitroglycerin + Lidothol Patch— Increased risk of methemoglobinemia when local anesthetics are concurrently exposed to nitrates.
- Nitroglycerin + Marcaine, Lidocaine, Kenalog, Povidone Iodine— Increased risk of methemoglobinemia when concurrently exposed to nitrates/nitrites.
- Nitroglycerin + Mepivacaine Hydrochloride— Concurrent exposure increases risk of methemoglobinemia in patients administered mepivacaine.
- Nitroglycerin + Nitric Oxide— May increase the risk of developing methemoglobinemia when used with nitric oxide.
- Nitroglycerin + Nonselective Beta-Adrenergic Antagonists— Beta-blockers blunt reflex tachycardia but not hypotensive effects of nitroglycerin, potentially causing additional hypo…
- Nitroglycerin + Penicillin G Benzathine And Penicillin G Procaine— Increased risk of methemoglobinemia when penicillin is concurrently administered with nitroglycerin (a nitrate).
- Nitroglycerin + Prilocaine Hcl And Epinephrine— Increased risk of methemoglobinemia when prilocaine is concurrently exposed to nitroglycerin.
- Nitroglycerin + Prilocaine Hydrochloride— Increased risk of methemoglobinemia when used concurrently with prilocaine.
- Nitroglycerin + Ropivacaine Hydrochloride— Increased risk of developing methemoglobinemia when concurrently exposed to nitroglycerin.
- Nitroglycerin + Triamcinolone Acetonide— Increased risk of methemoglobinemia when concurrently exposed.
- Nitroglycerin + Triethanolamine Salicylate— Increased risk of methemoglobinemia when used concurrently with triethanolamine salicylate.
- Nitroglycerin + Trubrexa Patch Er— Increased risk of methemoglobinemia when used with Trubrexa Transdermal Patch.
- Nitroglycerin + Ulspira— May increase risk of developing methemoglobinemia when used with ULSPIRA.
Moderate (16)
- Nitroglycerin + Acetylsalicylic Acid— Increases nitroglycerin maximum concentrations by up to 67% and AUC by 73%, potentially enhancing pharmacological effect…
- Nitroglycerin + Amitriptyline— Tricyclic antidepressant may cause dry mouth and diminished salivary secretions, making sublingual nitroglycerin dissolu…
- Nitroglycerin + Bupivacaine— May increase risk of methemoglobinemia when concurrently exposed with bupivacaine.
- Nitroglycerin + Bupivacaine Hydrochloride And Epinephrine Bitartrate— Increased risk of methemoglobinemia when concurrently exposed.
- Nitroglycerin + Bupivacaine Hydrochloride With Dextrose— Increased risk of developing methemoglobinemia when concurrently exposed.
- Nitroglycerin + Captopril— Data on concomitant use with captopril for heart failure are not available. Should be discontinued before starting capto…
- Nitroglycerin + Captopril And Hydrochlorothiazide— Concomitant use may cause excessive vasodilation. Should be discontinued before starting captopril; if resumed, administ…
- Nitroglycerin + Desipramine— Tricyclic antidepressant may cause dry mouth and diminished salivary secretions, making sublingual nitroglycerin dissolu…
- Nitroglycerin + Doxepin— Tricyclic antidepressant may cause dry mouth and diminished salivary secretions, making sublingual nitroglycerin dissolu…
- Nitroglycerin + Labetalol— Labetalol blunts reflex tachycardia from nitroglycerin and may produce additional antihypertensive effects when used con…
- Nitroglycerin + Labetalol Hydrochloride— Labetalol blunts reflex tachycardia from nitroglycerin without preventing hypotensive effect; additional antihypertensiv…
- Nitroglycerin + Lidocaine And Tetracaine— Nitrate/nitrite that increases risk of methemoglobinemia when used concomitantly with lidocaine and tetracaine.
- Nitroglycerin + Long Acting Antihistamines— Use of long-acting nitrates may result in a decrease in therapeutic effect of sublingual nitroglycerin.
- Nitroglycerin + Marcaine, Kenalog, Povidone Iodine— Increased risk of methemoglobinemia when concurrently exposed to nitrates/nitrites with bupivacaine.
- Nitroglycerin + Methylergonovine— Antianginal drug; methylergonovine produces vasoconstriction and may reduce the effect of glyceryl trinitrate.
- Nitroglycerin + Methylergonovine Maleate— Methylergonovine produces vasoconstriction and can reduce the effect of glyceryl trinitrate and other antianginal drugs.
Minor (1)
- Nitroglycerin + Isradipine— Isradipine has been safely coadministered with nitroglycerin with no reported adverse effects.