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Drug interactions

Dalteparin + Fluorouracil

Severity: Moderate

Dalteparin and Fluorouracil: 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

Fluorouracil causes myelosuppression, including thrombocytopenia, and can injure the gut mucosa. When given with dalteparin, the bleeding risk is higher.

What this interaction means in plain words

Dalteparin and Fluorouracil 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; Fluorouracil belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive bleeding risk from chemotherapy-induced thrombocytopenia and mucosal toxicity with heparin anticoagulation.

What to do

Monitor platelet counts before and during cycles and reduce or hold dalteparin if platelets fall significantly. Watch for bleeding.

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 Fluorouracil?

MediHelp rates the interaction as moderate. Dalteparin and Fluorouracil 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. Fluorouracil causes myelosuppression, including thrombocytopenia, and can injure the gut mucosa. When given with dalteparin, the bleeding risk is higher.

How serious is the interaction between Dalteparin and Fluorouracil?

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 before and during cycles and reduce or hold dalteparin if platelets fall significantly. Watch for bleeding.

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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