Drug interactions
Apixaban + Prasugrel
Severity: Major
Apixaban and Prasugrel: 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
Prasugrel is a potent antiplatelet and apixaban is an anticoagulant. Together they substantially increase the risk of major bleeding.
What this interaction means in plain words
Apixaban and Prasugrel 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.
Apixaban belongs to Cardiovascular; Prasugrel belongs to Cardiovascular.
Why it happens
Additive hemostatic impairment from irreversible P2Y12 inhibition and factor Xa inhibition.
What to do
Avoid unless clearly indicated. In patients needing both, clopidogrel is generally preferred with an anticoagulant.
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 Apixaban
- Apixaban + Dabigatran Contraindicated
- Apixaban + Defibrotide Contraindicated
- Apixaban + Edoxaban Contraindicated
- Apixaban + Ketorolac Contraindicated
- Apixaban + Mifepristone Contraindicated
- Abciximab + Apixaban Major
Other interactions of Prasugrel
Frequently asked questions
Can I take Apixaban with Prasugrel?
MediHelp rates the interaction as major. Apixaban and Prasugrel 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. Prasugrel is a potent antiplatelet and apixaban is an anticoagulant. Together they substantially increase the risk of major bleeding.
How serious is the interaction between Apixaban and Prasugrel?
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 unless clearly indicated. In patients needing both, clopidogrel is generally preferred with an anticoagulant.
What other medicines interact with Apixaban?
MediHelp also lists interactions of Apixaban with, for example, Dabigatran, Defibrotide, Edoxaban. The full list is on the Apixaban page.
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