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dipyridamole will increase the degree or outcome of riociguat by lowering metabolism. Prevent or Use Alternate Drug. Coadministration of riociguat (substrate of CYP isoenzymes 1A1, 2C8, 3A, 2J2) with potent CYP inhibitors might need a lowered Original dose of 0.five mg PO TID; watch for signs of hypotension and cut down dose if necessaryIn some cas