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Drug interactions

Anagrelide + Dabigatran etexilate

Severity: Moderate

Anagrelide and Dabigatran etexilate: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Anagrelide inhibits platelet aggregation and lowers platelet counts, so combining it with dabigatran increases the likelihood of bleeding. Risk is greater when thrombocytopenia is present.

What this interaction means in plain words

Anagrelide and Dabigatran etexilate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Anagrelide belongs to Cardiovascular; Dabigatran etexilate belongs to Cardiovascular.

Evidence level: Low

Why it happens

Additive effects on hemostasis through platelet inhibition and thrombin inhibition.

What to do

Monitor platelet counts and watch for bleeding signs. Reassess the need for both agents if bleeding or marked thrombocytopenia develops.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Anagrelide with Dabigatran etexilate?

MediHelp rates the interaction as moderate. Anagrelide and Dabigatran etexilate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Anagrelide inhibits platelet aggregation and lowers platelet counts, so combining it with dabigatran increases the likelihood of bleeding. Risk is greater when thrombocytopenia is present.

How serious is the interaction between Anagrelide and Dabigatran etexilate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor platelet counts and watch for bleeding signs. Reassess the need for both agents if bleeding or marked thrombocytopenia develops.

What other medicines interact with Dabigatran etexilate?

MediHelp also lists interactions of Dabigatran etexilate with, for example, Defibrotide, Ketorolac, Mifepristone. The full list is on the Dabigatran etexilate page.

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