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Drug interactions

Dabigatran etexilate + Imatinib

Severity: Moderate

Dabigatran etexilate and Imatinib: 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

Imatinib can cause thrombocytopenia and occasionally bleeding, which adds to the hemorrhagic risk of dabigatran. The combination is not contraindicated but needs attention to blood counts.

What this interaction means in plain words

Dabigatran etexilate and Imatinib 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.

Dabigatran etexilate belongs to Cardiovascular; Imatinib belongs to Oncology.

Evidence level: Low

Why it happens

Additive bleeding risk from imatinib-related thrombocytopenia and platelet dysfunction with thrombin inhibition.

What to do

Monitor platelet counts and signs of bleeding, and reassess anticoagulation if platelets fall markedly.

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 etexilate with Imatinib?

MediHelp rates the interaction as moderate. Dabigatran etexilate and Imatinib 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. Imatinib can cause thrombocytopenia and occasionally bleeding, which adds to the hemorrhagic risk of dabigatran. The combination is not contraindicated but needs attention to blood counts.

How serious is the interaction between Dabigatran etexilate and Imatinib?

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 platelet counts and signs of bleeding, and reassess anticoagulation if platelets fall markedly.

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

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