Drug interactions
Anagrelide + Milrinone
Severity: Major
Anagrelide and Milrinone: major 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
Both drugs are PDE3 inhibitors, so combined use may enhance positive inotropic, chronotropic and vasodilatory effects. This increases the risk of tachycardia, arrhythmias, hypotension and fluid retention or heart failure complications.
What this interaction means in plain words
Anagrelide and Milrinone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Anagrelide belongs to Cardiovascular; Milrinone belongs to Cardiovascular.
Why it happens
Additive phosphodiesterase 3 inhibition.
What to do
Avoid combined use where possible; if unavoidable, monitor ECG, blood pressure and heart rate closely and consider holding anagrelide during milrinone infusion.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Milrinone
- Cilostazol + Milrinone Major
- Enoximone + Milrinone Major
- Inamrinone + Milrinone Major
- Milrinone + Olprinone Major
- Milrinone + Riociguat Major
- Milrinone + Ozanimod Minor
Other interactions of Anagrelide
- Anagrelide + Panobinostat Contraindicated
- Anagrelide + Pimozide Contraindicated
- Anagrelide + Thioridazine Contraindicated
- Anagrelide + Vandetanib Contraindicated
- Abrocitinib + Anagrelide Major
- Alfuzosin + Anagrelide Major
Frequently asked questions
Can I take Anagrelide with Milrinone?
MediHelp rates the interaction as major. Anagrelide and Milrinone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs are PDE3 inhibitors, so combined use may enhance positive inotropic, chronotropic and vasodilatory effects. This increases the risk of tachycardia, arrhythmias, hypotension and fluid retention or heart failure complications.
How serious is the interaction between Anagrelide and Milrinone?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combined use where possible; if unavoidable, monitor ECG, blood pressure and heart rate closely and consider holding anagrelide during milrinone infusion.
What other medicines interact with Milrinone?
MediHelp also lists interactions of Milrinone with, for example, Cilostazol, Enoximone, Inamrinone. The full list is on the Milrinone page.
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