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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.

Evidence level: Moderate

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?

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 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.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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