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Drug interactions

Anagrelide + Ibrutinib

Severity: Moderate

Anagrelide and Ibrutinib: 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

Ibrutinib impairs platelet function and is associated with bruising and serious hemorrhage. Combined with anagrelide, which inhibits platelet aggregation and lowers platelet count, bleeding risk may be further increased.

What this interaction means in plain words

Anagrelide and Ibrutinib 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; Ibrutinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive impairment of platelet function and platelet number.

What to do

Monitor for signs of bleeding and check platelet counts regularly. Reassess the need for concurrent antithrombotic therapy and consider holding ibrutinib around procedures.

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 Ibrutinib?

MediHelp rates the interaction as moderate. Anagrelide and Ibrutinib 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. Ibrutinib impairs platelet function and is associated with bruising and serious hemorrhage. Combined with anagrelide, which inhibits platelet aggregation and lowers platelet count, bleeding risk may be further increased.

How serious is the interaction between Anagrelide and Ibrutinib?

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 for signs of bleeding and check platelet counts regularly. Reassess the need for concurrent antithrombotic therapy and consider holding ibrutinib around procedures.

What other medicines interact with Anagrelide?

MediHelp also lists interactions of Anagrelide with, for example, Panobinostat, Pimozide, Thioridazine. The full list is on the Anagrelide page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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