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Drug interactions

Berotralstat + Dabigatran etexilate

Severity: Moderate

Berotralstat and Dabigatran etexilate: 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

Berotralstat inhibits P-glycoprotein and may increase dabigatran concentrations, raising bleeding risk.

What this interaction means in plain words

Berotralstat and Dabigatran etexilate 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.

Berotralstat belongs to Miscellaneous; Dabigatran etexilate belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Inhibition of P-glycoprotein-mediated efflux of dabigatran etexilate in the gut.

What to do

Monitor for bleeding and renal function. Avoid or reduce dabigatran dose per labeling in patients with renal impairment.

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 Berotralstat with Dabigatran etexilate?

MediHelp rates the interaction as moderate. Berotralstat and Dabigatran etexilate 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. Berotralstat inhibits P-glycoprotein and may increase dabigatran concentrations, raising bleeding risk.

How serious is the interaction between Berotralstat and Dabigatran etexilate?

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 for bleeding and renal function. Avoid or reduce dabigatran dose per labeling in patients with renal impairment.

What other medicines interact with Dabigatran etexilate?

MediHelp also lists interactions of Dabigatran etexilate with, for example, Defibrotide, Ketorolac, Mifepristone. The full list is on the Dabigatran etexilate 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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