Drug interactions
Dalteparin + Epoprostenol
Severity: Moderate
Dalteparin and Epoprostenol: 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
Epoprostenol is a potent inhibitor of platelet aggregation, so combining it with dalteparin can raise the risk of bleeding. The risk is relevant in patients on long-term infusion who also need anticoagulation.
What this interaction means in plain words
Dalteparin and Epoprostenol 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.
Dalteparin belongs to Cardiovascular; Epoprostenol belongs to Genitourinary.
Why it happens
Prostacyclin-mediated platelet inhibition adds to the anti-factor Xa anticoagulant effect of dalteparin.
What to do
Monitor for bleeding and follow hemoglobin and platelet counts during combined use. Reassess the need for anticoagulation 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?
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Other interactions of Dalteparin
- Dalteparin + Defibrotide Contraindicated
- Dalteparin + Ketorolac Contraindicated
- Dalteparin + Mifepristone Contraindicated
- Abciximab + Dalteparin Major
- Acalabrutinib + Dalteparin Major
- Aceclofenac + Dalteparin Major
Other interactions of Epoprostenol
- Acetylsalicylic acid + Epoprostenol Moderate
- Aescin + Epoprostenol Moderate
- Aldesleukin + Epoprostenol Moderate
- Alteplase + Epoprostenol Moderate
- Amlodipine-benazepril + Epoprostenol Moderate
- Amlodipine-hydrochlorothiazide-valsartan + Epoprostenol Moderate
Frequently asked questions
Can I take Dalteparin with Epoprostenol?
MediHelp rates the interaction as moderate. Dalteparin and Epoprostenol 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. Epoprostenol is a potent inhibitor of platelet aggregation, so combining it with dalteparin can raise the risk of bleeding. The risk is relevant in patients on long-term infusion who also need anticoagulation.
How serious is the interaction between Dalteparin and Epoprostenol?
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 bleeding and follow hemoglobin and platelet counts during combined use. Reassess the need for anticoagulation if bleeding occurs.
What other medicines interact with Dalteparin?
MediHelp also lists interactions of Dalteparin with, for example, Defibrotide, Ketorolac, Mifepristone. The full list is on the Dalteparin page.
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