Drug interactions
Cefotetan + Enoxaparin
Severity: Moderate
Cefotetan and Enoxaparin: 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 contains an N-methylthiotetrazole group that can reduce vitamin K-dependent clotting factors and impair platelet function. This can add to the bleeding risk of enoxaparin, especially in debilitated patients.
What this interaction means in plain words
Cefotetan and Enoxaparin 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; Enoxaparin belongs to Cardiovascular.
Why it happens
Additive hemostatic impairment via vitamin K antagonism and platelet dysfunction caused by the cephalosporin side chain.
What to do
Monitor for bleeding and check PT/INR during prolonged courses. Give vitamin K if coagulopathy develops or select 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?
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Other interactions of Enoxaparin
- Defibrotide + Enoxaparin Contraindicated
- Enoxaparin + Ketorolac Contraindicated
- Enoxaparin + Mifepristone Contraindicated
- Abciximab + Enoxaparin Major
- Aceclofenac + Enoxaparin Major
- Acetylsalicylic acid + Enoxaparin Major
Other interactions of Cefotetan
- Cefotetan + Dronabinol Contraindicated
- Cefotetan + Warfarin Major
- Amikacin + Cefotetan Moderate
- Argatroban + Cefotetan Moderate
- Cefotetan + Dalteparin Moderate
- Cefotetan + Fondaparinux Moderate
Frequently asked questions
Can I take Cefotetan with Enoxaparin?
MediHelp rates the interaction as moderate. Cefotetan and Enoxaparin 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 contains an N-methylthiotetrazole group that can reduce vitamin K-dependent clotting factors and impair platelet function. This can add to the bleeding risk of enoxaparin, especially in debilitated patients.
How serious is the interaction between Cefotetan and Enoxaparin?
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 during prolonged courses. Give vitamin K if coagulopathy develops or select an alternative antibiotic.
What other medicines interact with Enoxaparin?
MediHelp also lists interactions of Enoxaparin with, for example, Defibrotide, Ketorolac, Mifepristone. The full list is on the Enoxaparin page.
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