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Drug interactions

Avapritinib + Ticlopidine

Severity: Moderate

Avapritinib and Ticlopidine: 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

Ticlopidine is not a significant CYP3A4 inhibitor, so a clinically relevant increase in avapritinib exposure is unlikely. Avapritinib itself causes intracranial hemorrhage risk and thrombocytopenia, which makes concurrent antiplatelet use worth noting.

What this interaction means in plain words

Avapritinib and Ticlopidine 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.

Avapritinib belongs to Oncology; Ticlopidine belongs to Cardiovascular.

Evidence level: Low

Why it happens

No established pharmacokinetic mechanism; additive bleeding risk is pharmacodynamic since ticlopidine inhibits platelets and avapritinib can cause thrombocytopenia and bleeding.

What to do

Monitor platelet counts and for bleeding or neurological symptoms during combined use.

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 Avapritinib with Ticlopidine?

MediHelp rates the interaction as moderate. Avapritinib and Ticlopidine 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. Ticlopidine is not a significant CYP3A4 inhibitor, so a clinically relevant increase in avapritinib exposure is unlikely. Avapritinib itself causes intracranial hemorrhage risk and thrombocytopenia, which makes concurrent antiplatelet use worth noting.

How serious is the interaction between Avapritinib and Ticlopidine?

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 platelet counts and for bleeding or neurological symptoms during combined use.

What other medicines interact with Ticlopidine?

MediHelp also lists interactions of Ticlopidine with, for example, Mavacamten, Abrocitinib, Acetylsalicylic acid. The full list is on the Ticlopidine page.

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

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