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Drug interactions

Ethacrynic acid + Warfarin

Severity: Moderate

Ethacrynic acid and Warfarin: 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

Ethacrynic acid may displace warfarin from plasma protein binding and has been reported to increase anticoagulant effect. Clinical significance is variable, but INR may rise with bleeding risk.

What this interaction means in plain words

Ethacrynic acid and Warfarin 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.

Ethacrynic acid belongs to Cardiovascular; Warfarin belongs to Cardiovascular.

Evidence level: Low

Why it happens

Probable displacement of warfarin from albumin binding sites; not well characterised.

What to do

Monitor INR when starting or stopping ethacrynic acid and adjust the warfarin dose if needed.

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 Ethacrynic acid with Warfarin?

MediHelp rates the interaction as moderate. Ethacrynic acid and Warfarin 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. Ethacrynic acid may displace warfarin from plasma protein binding and has been reported to increase anticoagulant effect. Clinical significance is variable, but INR may rise with bleeding risk.

How serious is the interaction between Ethacrynic acid and Warfarin?

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 INR when starting or stopping ethacrynic acid and adjust the warfarin dose if needed.

What other medicines interact with Warfarin?

MediHelp also lists interactions of Warfarin with, for example, Defibrotide, Ketorolac, Abciximab. The full list is on the Warfarin 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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