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Drug interactions

Dabigatran etexilate + Tenofovir df

Severity: Minor

Dabigatran etexilate and Tenofovir df: minor 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

Tenofovir is not a P-gp inducer and no clinically meaningful reduction in dabigatran exposure is expected. No established interaction supports the legacy claim.

What this interaction means in plain words

Dabigatran etexilate and Tenofovir df have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

No established pharmacokinetic or pharmacodynamic mechanism; both drugs are renally eliminated, so renal function matters for each.

What to do

No dose adjustment is needed for this pair. Monitor renal function, since tenofovir nephrotoxicity could increase dabigatran exposure.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Tenofovir df?

MediHelp rates the interaction as minor. Dabigatran etexilate and Tenofovir df have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Tenofovir is not a P-gp inducer and no clinically meaningful reduction in dabigatran exposure is expected. No established interaction supports the legacy claim.

How serious is the interaction between Dabigatran etexilate and Tenofovir df?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose adjustment is needed for this pair. Monitor renal function, since tenofovir nephrotoxicity could increase dabigatran exposure.

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.

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