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Drug interactions

Antithrombin alfa + Vitamin e

Severity: Minor

Antithrombin alfa and Vitamin e: 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

Antithrombin alfa is a recombinant anticoagulant, and very high doses of vitamin E may modestly impair clotting. Combined use could theoretically raise bleeding risk, but at ordinary vitamin E intakes the effect is unlikely to be meaningful.

What this interaction means in plain words

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

Evidence level: Low

Why it happens

Theoretical additive anticoagulant effect, as high-dose vitamin E antagonizes vitamin K-dependent clotting and inhibits platelets.

What to do

Avoid megadose vitamin E while the patient is receiving antithrombin therapy. Monitor for bleeding and coagulation parameters as per routine care.

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 Antithrombin alfa with Vitamin e?

MediHelp rates the interaction as minor. Antithrombin alfa and Vitamin e have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Antithrombin alfa is a recombinant anticoagulant, and very high doses of vitamin E may modestly impair clotting. Combined use could theoretically raise bleeding risk, but at ordinary vitamin E intakes the effect is unlikely to be meaningful.

How serious is the interaction between Antithrombin alfa and Vitamin e?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid megadose vitamin E while the patient is receiving antithrombin therapy. Monitor for bleeding and coagulation parameters as per routine care.

What other medicines interact with Vitamin e?

MediHelp also lists interactions of Vitamin e with, for example, Betrixaban, Phenindione, Selumetinib. The full list is on the Vitamin e page.

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