Drug interactions
Prasugrel + Telotristat etiprate
Severity: Moderate
Prasugrel and Telotristat etiprate: 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
Telotristat's metabolite inhibits carboxylesterase 2, which may alter activation of prasugrel, a prodrug hydrolysed by esterases. Antiplatelet effect could be altered, though clinical data are limited.
What this interaction means in plain words
Prasugrel and Telotristat etiprate 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.
Prasugrel belongs to Cardiovascular; Telotristat etiprate belongs to Gastrointestinal Tract.
Why it happens
Carboxylesterase 2 inhibition may alter prodrug hydrolysis of prasugrel.
What to do
Monitor for thrombotic events or bleeding, and consider platelet function testing if clinically concerning.
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?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Prasugrel and Telotristat etiprate, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 14 days on the web. No card needed.
Other interactions of Telotristat etiprate
- Bupropion + Telotristat etiprate Moderate
- Capecitabine + Telotristat etiprate Moderate
- Everolimus + Telotristat etiprate Moderate
- Flutamide + Telotristat etiprate Moderate
- Irinotecan + Telotristat etiprate Moderate
- Midazolam + Telotristat etiprate Moderate
Other interactions of Prasugrel
Frequently asked questions
Can I take Prasugrel with Telotristat etiprate?
MediHelp rates the interaction as moderate. Prasugrel and Telotristat etiprate 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. Telotristat's metabolite inhibits carboxylesterase 2, which may alter activation of prasugrel, a prodrug hydrolysed by esterases. Antiplatelet effect could be altered, though clinical data are limited.
How serious is the interaction between Prasugrel and Telotristat etiprate?
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 for thrombotic events or bleeding, and consider platelet function testing if clinically concerning.
What other medicines interact with Telotristat etiprate?
MediHelp also lists interactions of Telotristat etiprate with, for example, Bupropion, Capecitabine, Everolimus. The full list is on the Telotristat etiprate 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.
