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Drug interactions

Cefotetan + Dalteparin

Severity: Moderate

Cefotetan and Dalteparin: 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

Cefotetan can cause hypoprothrombinemia and platelet dysfunction, which may add to the anticoagulant effect of dalteparin. Bleeding risk is greater with poor nutrition, prolonged therapy or renal impairment.

What this interaction means in plain words

Cefotetan and Dalteparin 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.

Cefotetan belongs to Anti Bacterial; Dalteparin belongs to Cardiovascular.

Evidence level: Low

Why it happens

Additive hemostatic effects: the N-methylthiotetrazole side chain of cefotetan interferes with vitamin K-dependent clotting factor synthesis and platelet function.

What to do

Monitor for bleeding and check PT/INR and platelet count in prolonged courses; give vitamin K if coagulopathy develops or choose an alternative antibiotic.

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 Cefotetan with Dalteparin?

MediHelp rates the interaction as moderate. Cefotetan and Dalteparin 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. Cefotetan can cause hypoprothrombinemia and platelet dysfunction, which may add to the anticoagulant effect of dalteparin. Bleeding risk is greater with poor nutrition, prolonged therapy or renal impairment.

How serious is the interaction between Cefotetan and Dalteparin?

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 check PT/INR and platelet count in prolonged courses; give vitamin K if coagulopathy develops or choose an alternative antibiotic.

What other medicines interact with Dalteparin?

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

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

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