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Drug interactions

Dabigatran + Deferasirox

Severity: Moderate

Dabigatran and Deferasirox: 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

Deferasirox can cause gastric irritation, ulceration and gastrointestinal bleeding. Combined with the anticoagulant dabigatran, the chance of a clinically significant GI bleed is increased.

What this interaction means in plain words

Dabigatran and Deferasirox 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.

Evidence level: Moderate

Why it happens

Additive bleeding risk: deferasirox-related GI mucosal injury combined with dabigatran's direct thrombin inhibition.

What to do

Monitor for signs of GI bleeding and check hemoglobin periodically. Consider gastroprotection and reassess the need for both agents if bleeding occurs.

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 Dabigatran with Deferasirox?

MediHelp rates the interaction as moderate. Dabigatran and Deferasirox 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. Deferasirox can cause gastric irritation, ulceration and gastrointestinal bleeding. Combined with the anticoagulant dabigatran, the chance of a clinically significant GI bleed is increased.

How serious is the interaction between Dabigatran and Deferasirox?

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 signs of GI bleeding and check hemoglobin periodically. Consider gastroprotection and reassess the need for both agents if bleeding occurs.

What other medicines interact with Deferasirox?

MediHelp also lists interactions of Deferasirox with, for example, Acetylsalicylic acid, Alosetron, Aluminum hydroxide. The full list is on the Deferasirox page.

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

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