Drug interactions
Dabigatran etexilate + Ketorolac
Severity: Contraindicated
Dabigatran etexilate and Ketorolac: contraindicated 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
Ketorolac is a potent NSAID with marked antiplatelet and gastrointestinal toxicity, and its labeling contraindicates use with anticoagulants due to bleeding risk. Combined with dabigatran, serious hemorrhage can occur.
What this interaction means in plain words
Dabigatran etexilate and Ketorolac are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Dabigatran etexilate belongs to Cardiovascular; Ketorolac belongs to Musculoskeletal.
Why it happens
Additive effect on hemostasis: strong COX-1 platelet inhibition and mucosal injury with direct thrombin inhibition.
What to do
Do not co-administer; use a non-NSAID analgesic or another alternative. If exposure has occurred, monitor for bleeding and stop ketorolac.
What to ask your pharmacist
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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Other interactions of Dabigatran etexilate
- Dabigatran etexilate + Defibrotide Contraindicated
- Dabigatran etexilate + Mifepristone Contraindicated
- Abciximab + Dabigatran etexilate Major
- Alteplase + Dabigatran etexilate Major
- Amiodarone + Dabigatran etexilate Major
- Antithrombin alfa + Dabigatran etexilate Major
Other interactions of Ketorolac
- Aceclofenac + Ketorolac Contraindicated
- Acemetacin + Ketorolac Contraindicated
- Acetylsalicylic acid + Ketorolac Contraindicated
- Apixaban + Ketorolac Contraindicated
- Argatroban + Ketorolac Contraindicated
- Aspirin / citric acid / sodium bicarbonate + Ketorolac Contraindicated
Frequently asked questions
Can I take Dabigatran etexilate with Ketorolac?
MediHelp rates the interaction as contraindicated. Dabigatran etexilate and Ketorolac are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Ketorolac is a potent NSAID with marked antiplatelet and gastrointestinal toxicity, and its labeling contraindicates use with anticoagulants due to bleeding risk. Combined with dabigatran, serious hemorrhage can occur.
How serious is the interaction between Dabigatran etexilate and Ketorolac?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not co-administer; use a non-NSAID analgesic or another alternative. If exposure has occurred, monitor for bleeding and stop ketorolac.
What other medicines interact with Dabigatran etexilate?
MediHelp also lists interactions of Dabigatran etexilate with, for example, Defibrotide, Mifepristone, Abciximab. The full list is on the Dabigatran etexilate page.
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