If you have other questions or concerns, they will be addressed by one of our doctors during your consultation
Cardona, compound semaglutide or tirzepatide can be prescribed and managed safely
available through 503A compounding Sildenafil metabolism / CYP3A4 (major), CYP2C9 (minor) Key risk / additive vasodilation leading to symptomatic hypotension Sildenafil BP effect alone / mean reduction of 8.4/5.5 mmHg at 100 mg dose Nitrate contraindication / sildenafil plus any nitrate source can drop systolic BP by an additional 25 mmHg or more Monitoring / orthostatic vitals before and 1 hour after first combined dose Patient population of concern / men over 60, those on alpha-blockers or antihypertensives Why This Interaction Matters BPC-157 and sildenafil both act on the nitric oxide (NO) signaling cascade, raising a plausible concern for additive blood pressure reduction when used together
She told me to start at a low dose and titrate up slowly
Make sure to inform your healthcare provider about any underlying medical conditions you have
Wang R, Tang R, Li B, Ma X, Schnabl B, Tilg H
