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Drug interactions

Vilazodone + Warfarin

Severity: Moderate

Vilazodone 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

Vilazodone is a serotonin reuptake inhibitor and partial 5-HT1A agonist whose labeling warns of increased bleeding with anticoagulants. The combination may raise bleeding risk.

What this interaction means in plain words

Vilazodone 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.

Vilazodone belongs to Central Nervous System; Warfarin belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Impaired platelet serotonin uptake and aggregation adds to warfarin anticoagulation.

What to do

Monitor INR and bleeding signs when starting or stopping vilazodone.

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 Vilazodone with Warfarin?

MediHelp rates the interaction as moderate. Vilazodone 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. Vilazodone is a serotonin reuptake inhibitor and partial 5-HT1A agonist whose labeling warns of increased bleeding with anticoagulants. The combination may raise bleeding risk.

How serious is the interaction between Vilazodone 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 and bleeding signs when starting or stopping vilazodone.

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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