Drug interactions
Clopidogrel + Daprodustat
Severity: Moderate
Clopidogrel and Daprodustat: 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
The acyl glucuronide metabolite of clopidogrel inhibits CYP2C8, the main enzyme that clears daprodustat. Exposure to daprodustat can rise, with a greater risk of excessive hemoglobin response and related adverse effects such as thrombotic events.
What this interaction means in plain words
Clopidogrel and Daprodustat 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.
Clopidogrel belongs to Cardiovascular; Daprodustat belongs to Endocrine.
Why it happens
Inhibition of CYP2C8-mediated metabolism of daprodustat by clopidogrel and its glucuronide metabolite.
What to do
Reduce the daprodustat starting dose as per labeling for moderate CYP2C8 inhibitors. Monitor hemoglobin and adjust the dose when clopidogrel is started or stopped.
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 Clopidogrel
Other interactions of Daprodustat
- Daprodustat + Gemfibrozil Contraindicated
- Abiraterone + Daprodustat Moderate
- Alogliptin-pioglitazone + Daprodustat Moderate
- Carbamazepine + Daprodustat Moderate
- Daprodustat + Deferasirox Moderate
- Daprodustat + Hydrochlorothiazide-irbesartan Moderate
Frequently asked questions
Can I take Clopidogrel with Daprodustat?
MediHelp rates the interaction as moderate. Clopidogrel and Daprodustat 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. The acyl glucuronide metabolite of clopidogrel inhibits CYP2C8, the main enzyme that clears daprodustat. Exposure to daprodustat can rise, with a greater risk of excessive hemoglobin response and related adverse effects such as thrombotic events.
How serious is the interaction between Clopidogrel and Daprodustat?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the daprodustat starting dose as per labeling for moderate CYP2C8 inhibitors. Monitor hemoglobin and adjust the dose when clopidogrel is started or stopped.
What other medicines interact with Clopidogrel?
MediHelp also lists interactions of Clopidogrel with, for example, Ombitasvir / paritaprevir / ritonavir and dasabuvir, Abrocitinib, Acetylsalicylic acid. The full list is on the Clopidogrel page.
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