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Drug interactions

Dalteparin + Flurbiprofen

Severity: Major

Dalteparin and Flurbiprofen: major 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

Dalteparin is a low molecular weight heparin, and flurbiprofen inhibits platelet function and irritates the GI tract. Combined use raises the risk of serious bleeding.

What this interaction means in plain words

Dalteparin and Flurbiprofen can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Dalteparin belongs to Cardiovascular; Flurbiprofen belongs to Musculoskeletal.

Evidence level: High

Why it happens

Additive impairment of hemostasis: factor Xa inhibition plus NSAID antiplatelet effect and mucosal injury.

What to do

Avoid NSAIDs during dalteparin therapy when possible and use paracetamol for analgesia. If combined, monitor hemoglobin, renal function and for signs of bleeding.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Flurbiprofen?

MediHelp rates the interaction as major. Dalteparin and Flurbiprofen can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Dalteparin is a low molecular weight heparin, and flurbiprofen inhibits platelet function and irritates the GI tract. Combined use raises the risk of serious bleeding.

How serious is the interaction between Dalteparin and Flurbiprofen?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid NSAIDs during dalteparin therapy when possible and use paracetamol for analgesia. If combined, monitor hemoglobin, renal function and for signs of bleeding.

What other medicines interact with Flurbiprofen?

MediHelp also lists interactions of Flurbiprofen with, for example, Ketorolac, Ketorolac intranasal, Aceclofenac. The full list is on the Flurbiprofen page.

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