CAD - Stable Angina Case #14

A 45-year-old man with coronary artery disease and erectile dysfunction is requesting medication. He takes oral low-dose aspirin (81 mg) daily, oral metoprolol tartrate 25 mg twice per day, oral lisinopril 10 mg daily, oral atorvastatin 80 mg daily and sublingual nitroglycerine as needed. What do you tell him?

A. Sildenafil, vardenafil, and tadalafil (phosphodiesterase inhibitors) are completely contraindicated in patients with coronary artery disease

B. Sildenafil, vardenafil, and tadalafil can be used with nitroglycerine safely, so there is no concern

C. Sildenafil can be used as long as separated from nitrates by 24 hours

D. Vardenafil can be used as long as separated from nitrates by 24 hours

E. Tadalafil can be used as long as separated from nitrates by 24 hours
 

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