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Drug interactions

Balsalazide + Warfarin

Severity: Minor

Balsalazide and Warfarin: 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

Case reports have described altered INR in patients taking mesalamine-type drugs with warfarin, but the evidence is inconsistent. The effect is generally small.

What this interaction means in plain words

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

Balsalazide belongs to Gastrointestinal Tract; Warfarin belongs to Cardiovascular.

Evidence level: Low

Why it happens

Mechanism not established.

What to do

Check INR after starting or stopping balsalazide and adjust warfarin dose accordingly.

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 Balsalazide with Warfarin?

MediHelp rates the interaction as minor. Balsalazide and Warfarin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Case reports have described altered INR in patients taking mesalamine-type drugs with warfarin, but the evidence is inconsistent. The effect is generally small.

How serious is the interaction between Balsalazide and Warfarin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check INR after starting or stopping balsalazide and adjust warfarin dose accordingly.

What other medicines interact with Balsalazide?

MediHelp also lists interactions of Balsalazide with, for example, Measles mumps rubella and varicella vaccine live, Varicella virus vaccine live, Aceclofenac. The full list is on the Balsalazide page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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