Nitro-dur and Spiriva drug interactions - a phase IV clinical study of FDA data
Summary:
Drug interactions are reported among people who take Nitro-dur (nitroglycerin) and Spiriva (tiotropium bromide monohydrate). Common drug interactions include fall among females and pneumonia among males.
The phase IV clinical study analyzes what interactions people have when they take Nitro-dur and Spiriva. It is created by eHealthMe based on reports of 67 people who take the same drugs from the FDA, and is updated regularly.
What is Nitro-dur?
Nitro-dur has active ingredients of nitroglycerin. eHealthMe is studying from 2,414 Nitro-dur users. Check the latest studies of Nitro-dur.
What is Spiriva?
Spiriva has active ingredients of tiotropium bromide monohydrate. It is often used in chronic obstructive pulmonary disease. eHealthMe is studying from 156,666 Spiriva users. Check the latest studies of Spiriva.
eHealthMe: drug outcomes in the real world
eHealthMe runs one of the largest post-marketing drug safety studies in the world. We study millions of patients and 5,000 more each day. Our data-driven phase IV clinical trials have been referenced on 800+ peer-reviewed medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. Tools to study our phase IV findings are available to the public, anonymous and free >>>.
67 people who take Nitro-dur and Spiriva together, and have interactions are studied.

What are the common drug interactions of Nitro-Dur and Spiriva, by gender? *:
female:
- Fall
- Insomnia (sleeplessness)
- Vision blurred
- Vomiting
- Anaemia (lack of blood)
- Arthralgia (joint pain)
- Atopy (a genetic disposition to develop an allergic reaction)
- Basal cell carcinoma (a skin cancer, it rarely metastasizes or kills)
- Blindness
- Blood pressure systolic increased
male:
- Pneumonia
- Myocardial infarction (destruction of heart tissue resulting from obstruction of the blood supply to the heart muscle)
- Upper gastrointestinal haemorrhage (upper gastrointestinal bleeding)
- Wheezing (a high-pitched whistling sound made while you breath)
- Malaise (a feeling of general discomfort or uneasiness)
- Asthenia (weakness)
- Chest pain
- Death
- Arthralgia (joint pain)
- Chills (felling of cold)
What are the common drug interactions of Nitro-Dur and Spiriva, by age (0-1 to 60+)? *:
0-1:
n/a
2-9:
n/a
10-19:
n/a
20-29:
n/a
30-39:
n/a
40-49:
- Coronary artery disease (plaque building up along the inner walls of the arteries of the heart, which narrows the arteries and restricts blood flow to the heart)
- Deep vein thrombosis (blood clot in a major vein that usually develops in the legs and/or pelvis)
- Drug hypersensitivity
- Dysphonia (speech disorder attributable to a disorder of phonation)
- Essential hypertension (primary hypertension)
- Hiatus hernia (hernia resulting from the protrusion of part of the stomach through the diaphragm)
- Hyperchlorhydria (gastric acid levels are higher in stomach)
- Hypothyroidism (abnormally low activity of the thyroid gland, resulting in retardation of growth and mental development)
- Insomnia (sleeplessness)
- Intervertebral disc degeneration (spinal disc degeneration)
50-59:
- Atrial fibrillation (fibrillation of the muscles of the atria of the heart)
- Bradycardia (abnormally slow heart action)
60+:
- Pneumonia
- Dyspnoea (difficult or laboured respiration)
- Cardiac disorder
- Fall
- Hip fracture
- Nausea (feeling of having an urge to vomit)
- Pharyngitis (inflammation of the pharynx, causing a sore throat)
- Upper gastrointestinal haemorrhage (upper gastrointestinal bleeding)
- Arthralgia (joint pain)
- Blood pressure diastolic decreased
What are the existing conditions these people have? *
- Asthma: 15 people, 22.39%
- Atrial Fibrillation/flutter (atrial fibrillation and flutter are abnormal heart rhythms in which the atria, or upper chambers of the heart, are out of sync with the ventricles): 8 people, 11.94%
- Rheumatoid Arthritis (a chronic progressive disease causing inflammation in the joints): 7 people, 10.45%
- Pain: 6 people, 8.96%
- Sleep Disorder: 4 people, 5.97%
- Primary Pulmonary Hypertension (primary high blood pressure that affects the arteries in the lungs and the right side of your heart): 4 people, 5.97%
- Nausea (feeling of having an urge to vomit): 4 people, 5.97%
- Muscle Spasms (muscle contraction): 4 people, 5.97%
- Fabry's Disease (build up of a particular type of fat, called globotriaosylceramide, in the body's cells): 4 people, 5.97%
- Dyspnea (difficult or laboured breathing): 4 people, 5.97%
* Approximation only. Some reports may have incomplete information.
Do you take Nitro-dur and Spiriva?
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Related studies:
Effectiveness of, side effects of, and alternative drugs to the 2 drugs:
Browse all drug interactions of Nitro-dur and Spiriva:
a b c d e f g h i j k l m n o p q r s t u v w x y zSub-studies by gender and age:
Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+
Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+
Browse all side effects of Nitro-dur:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all side effects of Spiriva:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all interactions between Nitro-dur and drugs from A to Z:
a b c d e f g h i j k l m n o p q r s t u v w x y zBrowse all interactions between Spiriva and drugs from A to Z:
a b c d e f g h i j k l m n o p q r s t u v w x y zHow the study uses the data?
The study uses data from the FDA. It is based on nitroglycerin and tiotropium bromide monohydrate (the active ingredients of Nitro-dur and Spiriva, respectively), and Nitro-dur and Spiriva (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.
How to use the study?
DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.
Who is eHealthMe?
With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).
WARNING, DISCLAIMER, USE FOR PUBLICATION
WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.
DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.
If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date.
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