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Drug interactions

Apalutamide + Dipyridamole

Severity: Minor

Apalutamide and Dipyridamole: 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

Apalutamide is an enzyme and transporter inducer that may lower exposure to dipyridamole. Reduced antiplatelet or vasodilatory effect is possible, though the clinical impact is not well characterized.

What this interaction means in plain words

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

Apalutamide belongs to Endocrine; Dipyridamole belongs to Cardiovascular.

Evidence level: Low

Why it happens

Apalutamide induces metabolic enzymes and transporters such as BCRP, potentially increasing dipyridamole elimination.

What to do

Monitor for reduced antiplatelet efficacy, and consider an alternative agent if thrombotic events occur.

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 Apalutamide with Dipyridamole?

MediHelp rates the interaction as minor. Apalutamide and Dipyridamole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Apalutamide is an enzyme and transporter inducer that may lower exposure to dipyridamole. Reduced antiplatelet or vasodilatory effect is possible, though the clinical impact is not well characterized.

How serious is the interaction between Apalutamide and Dipyridamole?

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 for reduced antiplatelet efficacy, and consider an alternative agent if thrombotic events occur.

What other medicines interact with Dipyridamole?

MediHelp also lists interactions of Dipyridamole with, for example, Riociguat, Adenosine, Betrixaban. The full list is on the Dipyridamole page.

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

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