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Drug interactions

Anifrolumab + Warfarin

Severity: Minor

Anifrolumab and Warfarin: minor 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

Type I interferon blockade could theoretically change CYP450 activity, but no effect on warfarin has been shown. Because warfarin has a narrow therapeutic index, any change could affect bleeding or clotting risk.

What this interaction means in plain words

Anifrolumab and Warfarin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Anifrolumab belongs to Miscellaneous; Warfarin belongs to Cardiovascular.

Evidence level: Low

Why it happens

Theoretical modulation of CYP450 expression through interferon pathway inhibition; not established clinically.

What to do

Monitor INR more closely when anifrolumab is started or stopped. Adjust warfarin dose only if INR moves out of range.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Anifrolumab with Warfarin?

MediHelp rates the interaction as minor. Anifrolumab and Warfarin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Type I interferon blockade could theoretically change CYP450 activity, but no effect on warfarin has been shown. Because warfarin has a narrow therapeutic index, any change could affect bleeding or clotting risk.

How serious is the interaction between Anifrolumab and Warfarin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor INR more closely when anifrolumab is started or stopped. Adjust warfarin dose only if INR moves out of range.

What other medicines interact with Anifrolumab?

MediHelp also lists interactions of Anifrolumab with, for example, Measles mumps and rubella vaccine. The full list is on the Anifrolumab 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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