Drug interactions
Defibrotide + Enoxaparin
Severity: Contraindicated
Defibrotide and Enoxaparin: contraindicated 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
Defibrotide has profibrinolytic and antithrombotic activity, so combining it with enoxaparin at treatment doses raises hemorrhage risk. Labeling contraindicates concurrent systemic anticoagulant therapy.
What this interaction means in plain words
Defibrotide and Enoxaparin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Defibrotide belongs to Cardiovascular; Enoxaparin belongs to Cardiovascular.
Why it happens
Additive pharmacodynamic effects on hemostasis.
What to do
Hold therapeutic enoxaparin during defibrotide treatment and reassess the need for anticoagulation.
What to ask your pharmacist
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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Other interactions of Enoxaparin
- Enoxaparin + Ketorolac Contraindicated
- Enoxaparin + Mifepristone Contraindicated
- Abciximab + Enoxaparin Major
- Aceclofenac + Enoxaparin Major
- Acetylsalicylic acid + Enoxaparin Major
- Alteplase + Enoxaparin Major
Other interactions of Defibrotide
- Alteplase + Defibrotide Contraindicated
- Apixaban + Defibrotide Contraindicated
- Argatroban + Defibrotide Contraindicated
- Dabigatran etexilate + Defibrotide Contraindicated
- Dalteparin + Defibrotide Contraindicated
- Defibrotide + Edoxaban Contraindicated
Frequently asked questions
Can I take Defibrotide with Enoxaparin?
MediHelp rates the interaction as contraindicated. Defibrotide and Enoxaparin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Defibrotide has profibrinolytic and antithrombotic activity, so combining it with enoxaparin at treatment doses raises hemorrhage risk. Labeling contraindicates concurrent systemic anticoagulant therapy.
How serious is the interaction between Defibrotide and Enoxaparin?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Hold therapeutic enoxaparin during defibrotide treatment and reassess the need for anticoagulation.
What other medicines interact with Enoxaparin?
MediHelp also lists interactions of Enoxaparin with, for example, Ketorolac, Mifepristone, Abciximab. The full list is on the Enoxaparin page.
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