Drug interactions
Edoxaban + Ombitasvir / paritaprevir / ritonavir and dasabuvir
Severity: Major
Edoxaban and Ombitasvir / paritaprevir / ritonavir and dasabuvir: 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
This regimen contains ritonavir and paritaprevir, which inhibit P-glycoprotein, and may substantially raise edoxaban levels with a higher risk of bleeding.
What this interaction means in plain words
Edoxaban and Ombitasvir / paritaprevir / ritonavir and dasabuvir 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.
Why it happens
Inhibition of P-glycoprotein by ritonavir and paritaprevir increases edoxaban exposure.
What to do
Avoid if possible or use an alternative anticoagulant; if combined, monitor closely for bleeding and consider 30 mg daily for DVT/PE.
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?
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Other interactions of Edoxaban
- Apixaban + Edoxaban Contraindicated
- Defibrotide + Edoxaban Contraindicated
- Edoxaban + Ketorolac Contraindicated
- Abciximab + Edoxaban Major
- Acetylsalicylic acid + Edoxaban Major
- Argatroban + Edoxaban Major
Frequently asked questions
Can I take Edoxaban with Ombitasvir / paritaprevir / ritonavir and dasabuvir?
MediHelp rates the interaction as major. Edoxaban and Ombitasvir / paritaprevir / ritonavir and dasabuvir 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. This regimen contains ritonavir and paritaprevir, which inhibit P-glycoprotein, and may substantially raise edoxaban levels with a higher risk of bleeding.
How serious is the interaction between Edoxaban and Ombitasvir / paritaprevir / ritonavir and dasabuvir?
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 if possible or use an alternative anticoagulant; if combined, monitor closely for bleeding and consider 30 mg daily for DVT/PE.
What other medicines interact with Edoxaban?
MediHelp also lists interactions of Edoxaban with, for example, Apixaban, Defibrotide, Ketorolac. The full list is on the Edoxaban page.
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