Is Ezetia (ezetimibe) contraindicated with Vardenafil (levitra)?

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Last updated: February 28, 2025View editorial policy

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From the Guidelines

Zetia (ezetimibe) and vardenafil (Levitra) are not contraindicated when used together, as there is no direct interaction between the two medications that would increase the risk of morbidity, mortality, or negatively impact quality of life. The provided evidence does not mention any interaction between ezetimibe and vardenafil, and the focus is on the use of nitrates and phosphodiesterase inhibitors like sildenafil, tadalafil, and vardenafil in the context of cardiovascular disease management 1.

Mechanism of Action

Ezetimibe works by reducing cholesterol absorption in the small intestine, while vardenafil is a phosphodiesterase type 5 (PDE5) inhibitor used for erectile dysfunction. These medications work through different mechanisms and metabolic pathways, which minimizes the risk of interaction.

Clinical Considerations

Patients should always inform their healthcare providers about all medications they are taking, including over-the-counter drugs and supplements. Some patients taking these medications may have underlying cardiovascular conditions that require careful monitoring, so regular follow-up with a healthcare provider is important. While these medications aren't contraindicated together, individual patient factors such as liver function, kidney function, and other concurrent medications may influence how these drugs are prescribed and monitored in specific cases.

Key Points

  • No direct interaction between ezetimibe and vardenafil that would increase the risk of morbidity, mortality, or negatively impact quality of life.
  • Different mechanisms of action for ezetimibe and vardenafil minimize the risk of interaction.
  • Patients should inform healthcare providers about all medications, and regular follow-up is important for those with underlying cardiovascular conditions.

From the Research

Ezetia (Ezetimibe) and Vardenafil (Levitra) Interaction

  • There is no direct evidence in the provided studies that suggests a contraindication between Ezetia (ezetimibe) and Vardenafil (levitra) 2, 3, 4, 5, 6.
  • The studies primarily focus on the interactions of phosphodiesterase 5 (PDE5) inhibitors, such as vardenafil, with other medications, particularly nitrates and alpha-blockers 2, 3, 5.
  • Ezetimibe is not mentioned in any of the provided studies, and therefore, there is no information available on its potential interaction with vardenafil.
  • However, it is essential to note that patients taking vardenafil should be cautious when using other medications, especially those that may interact with PDE5 inhibitors, such as nitrates and alpha-blockers 2, 3, 5.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Cardiovascular effects of phosphodiesterase 5 inhibitors.

Current pharmaceutical design, 2006

Research

The efficacy and safety of PDE5 inhibitors.

Clinical cornerstone, 2005

Research

Erectile dysfunction: oral pharmacotherapy options.

International journal of clinical pharmacology and therapeutics, 2002

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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