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Drug interactions

Dronedarone + Edoxaban

Severity: Moderate

Dronedarone and Edoxaban: 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

Dronedarone inhibits P-glycoprotein and raises edoxaban exposure, which could increase bleeding risk. The effect is clinically relevant, especially in patients with renal impairment or low body weight.

What this interaction means in plain words

Dronedarone and Edoxaban 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.

Dronedarone belongs to Cardiovascular; Edoxaban belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Dronedarone inhibits P-gp-mediated efflux of edoxaban, increasing its absorption.

What to do

For VTE treatment, reduce edoxaban to 30 mg daily; no reduction is recommended for atrial fibrillation. Monitor 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 Dronedarone with Edoxaban?

MediHelp rates the interaction as moderate. Dronedarone and Edoxaban 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. Dronedarone inhibits P-glycoprotein and raises edoxaban exposure, which could increase bleeding risk. The effect is clinically relevant, especially in patients with renal impairment or low body weight.

How serious is the interaction between Dronedarone and Edoxaban?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: For VTE treatment, reduce edoxaban to 30 mg daily; no reduction is recommended for atrial fibrillation. Monitor for bleeding.

What other medicines interact with Dronedarone?

MediHelp also lists interactions of Dronedarone with, for example, Adagrasib, Amiodarone, Arsenic trioxide. The full list is on the Dronedarone 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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