Drug interactions
Fondaparinux + Mistletoe
Severity: Minor
Fondaparinux and Mistletoe: minor 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
Mistletoe has uncertain effects on coagulation, and any influence on fondaparinux activity is not well characterized. No clinically important interaction has been demonstrated.
What this interaction means in plain words
Fondaparinux and Mistletoe have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Fondaparinux belongs to Cardiovascular; Mistletoe belongs to Gastrointestinal Tract.
Why it happens
No established mechanism; effects on coagulation are theoretical.
What to do
Discourage unsupervised mistletoe use during fondaparinux therapy. Monitor for bleeding or thrombosis if used.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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Other interactions of Fondaparinux
- Defibrotide + Fondaparinux Contraindicated
- Fondaparinux + Ketorolac Contraindicated
- Abciximab + Fondaparinux Major
- Aceclofenac + Fondaparinux Major
- Acetylsalicylic acid + Fondaparinux Major
- Alteplase + Fondaparinux Major
Other interactions of Mistletoe
Frequently asked questions
Can I take Fondaparinux with Mistletoe?
MediHelp rates the interaction as minor. Fondaparinux and Mistletoe have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Mistletoe has uncertain effects on coagulation, and any influence on fondaparinux activity is not well characterized. No clinically important interaction has been demonstrated.
How serious is the interaction between Fondaparinux and Mistletoe?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Discourage unsupervised mistletoe use during fondaparinux therapy. Monitor for bleeding or thrombosis if used.
What other medicines interact with Fondaparinux?
MediHelp also lists interactions of Fondaparinux with, for example, Defibrotide, Ketorolac, Abciximab. The full list is on the Fondaparinux page.
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