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Nitrates (nitroglycerin, isosorbide di/mononitrate) + PDE5 inhibitors (-afil)
Fatal hypotension [both produce additive vasodilation.]
Warfarin + NSAIDs or Aspirin
Severe bleeding risk GI hemorrhage [both increase bleeding risk; NSAID damage stomach lining]
Opioids + benzodiazepines
respiratory depression, coma, death [additive CNS and respiratory depression]
ACE inhibitors + ksparing diuretics
Hyperkalemia [can trigger cardiac arrhythmias and arrest]
MAOIs + SSRIs
Serotonin syndrome
Fluoroquinolones + multivalent cations (antacids with ca2+…)
treatment failure [cations bind the antibiotic, preventing intestinal absorption]