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Drug interactions

Antithrombin alfa + Ibuprofen

Severity: Moderate

Antithrombin alfa and Ibuprofen: 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

Antithrombin alfa potentiates heparin-mediated anticoagulation, and ibuprofen impairs platelet function and can injure the GI mucosa. Together they increase the risk of bleeding.

What this interaction means in plain words

Antithrombin alfa and Ibuprofen 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.

Evidence level: Moderate

Why it happens

Additive pharmacodynamic effects: antithrombin-mediated inhibition of coagulation factors plus NSAID platelet inhibition.

What to do

Monitor for bleeding and coagulation parameters, and avoid ibuprofen where possible in favor of paracetamol.

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 Antithrombin alfa with Ibuprofen?

MediHelp rates the interaction as moderate. Antithrombin alfa and Ibuprofen 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. Antithrombin alfa potentiates heparin-mediated anticoagulation, and ibuprofen impairs platelet function and can injure the GI mucosa. Together they increase the risk of bleeding.

How serious is the interaction between Antithrombin alfa and Ibuprofen?

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 bleeding and coagulation parameters, and avoid ibuprofen where possible in favor of paracetamol.

What other medicines interact with Ibuprofen?

MediHelp also lists interactions of Ibuprofen with, for example, Ketorolac, Ketorolac intranasal, Acemetacin. The full list is on the Ibuprofen page.

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