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Drug interactions

Azficel-t + Rivaroxaban

Severity: Moderate

Azficel-t and Rivaroxaban: 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

Azficel-T is delivered by multiple intradermal injections after a skin biopsy. Anticoagulants such as rivaroxaban can increase bruising and bleeding at the biopsy and injection sites.

What this interaction means in plain words

Azficel-t and Rivaroxaban 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: Low

Why it happens

Pharmacodynamic effect: anticoagulation increases bleeding and bruising at procedural sites.

What to do

Have the prescriber decide whether to hold rivaroxaban around the biopsy and injection procedures, balancing thrombotic risk. Monitor the sites for bleeding and hematoma.

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 Azficel-t with Rivaroxaban?

MediHelp rates the interaction as moderate. Azficel-t and Rivaroxaban 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. Azficel-T is delivered by multiple intradermal injections after a skin biopsy. Anticoagulants such as rivaroxaban can increase bruising and bleeding at the biopsy and injection sites.

How serious is the interaction between Azficel-t and Rivaroxaban?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Have the prescriber decide whether to hold rivaroxaban around the biopsy and injection procedures, balancing thrombotic risk. Monitor the sites for bleeding and hematoma.

What other medicines interact with Rivaroxaban?

MediHelp also lists interactions of Rivaroxaban with, for example, Defibrotide, Ketoconazole, Ketorolac. The full list is on the Rivaroxaban page.

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