Question:easy

Tadalafil should not be given together with:

Show Hint

Adding another vasodilator (like nitrates) to a PDE-5 inhibitor crashes blood pressure.
Updated On: Jun 24, 2026
  • Vasodilators
  • Antibiotics
  • Vasoconstrictors
  • Valproate
Show Solution

The Correct Option is A

Solution and Explanation

Step 1: Tadalafil blocks phosphodiesterase-5, sustaining cGMP-mediated smooth-muscle relaxation and vasodilation.

Step 2: If another vasodilating drug (classically a nitrate) is added, the two effects stack, producing a steep and potentially dangerous drop in blood pressure.

Step 3: For that reason vasodilators are contraindicated alongside tadalafil.

Step 4: The other options - antibiotics, vasoconstrictors, and valproate - lack this additive hypotensive risk, so they are not the answer.

\[\boxed{\text{Vasodilators}}\]
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