Drug interactions
Tenecteplase + Ticagrelor
Severity: Major
Tenecteplase and Ticagrelor: 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
Tenecteplase is a thrombolytic, and combining it with ticagrelor increases the risk of major bleeding including intracranial hemorrhage.
What this interaction means in plain words
Tenecteplase and Ticagrelor 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.
Tenecteplase belongs to Cardiovascular; Ticagrelor belongs to Cardiovascular.
Why it happens
Additive effects of fibrinolysis and platelet P2Y12 inhibition on hemostasis.
What to do
Use only when benefit clearly outweighs risk, with close monitoring for bleeding and neurological change. Avoid invasive procedures and arterial punctures where possible.
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 Ticagrelor
- Itraconazole + Ticagrelor Contraindicated
- Ketoconazole + Ticagrelor Contraindicated
- Levoketoconazole + Ticagrelor Contraindicated
- Abciximab + Ticagrelor Major
- Abrocitinib + Ticagrelor Major
- Acalabrutinib + Ticagrelor Major
Other interactions of Tenecteplase
- Alteplase + Tenecteplase Contraindicated
- Acetylsalicylic acid + Tenecteplase Major
- Apixaban + Tenecteplase Major
- Argatroban + Tenecteplase Major
- Dabigatran etexilate + Tenecteplase Major
- Dalteparin + Tenecteplase Major
Frequently asked questions
Can I take Tenecteplase with Ticagrelor?
MediHelp rates the interaction as major. Tenecteplase and Ticagrelor 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. Tenecteplase is a thrombolytic, and combining it with ticagrelor increases the risk of major bleeding including intracranial hemorrhage.
How serious is the interaction between Tenecteplase and Ticagrelor?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use only when benefit clearly outweighs risk, with close monitoring for bleeding and neurological change. Avoid invasive procedures and arterial punctures where possible.
What other medicines interact with Ticagrelor?
MediHelp also lists interactions of Ticagrelor with, for example, Itraconazole, Ketoconazole, Levoketoconazole. The full list is on the Ticagrelor page.
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