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Antithrombin alfa + Dabigatran etexilate

شدت: شدید

Antithrombin alfa and Dabigatran etexilate: major interaction.

آخرین به‌روزرسانی

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خلاصه

Antithrombin potentiates inhibition of thrombin and factor Xa by heparins, and together with the direct thrombin inhibitor dabigatran may increase anticoagulant effect. This raises the risk of serious bleeding.

معنای این تداخل به زبان ساده

Antithrombin alfa and Dabigatran etexilate 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.

سطح شواهد: Low

چرا رخ می‌دهد

Additive anticoagulant effect through enhanced endogenous thrombin inhibition combined with direct thrombin inhibition.

اقدام لازم

Avoid concurrent use where possible and monitor for bleeding with coagulation tests (aPTT, ecarin or thrombin time) if both are essential. Use short-acting parenteral options when antithrombin replacement is needed.

از داروساز چه بپرسید

  • 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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

ویژه اعضای Pro+

باز کردن کل صفحه

یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Antithrombin alfa و Dabigatran etexilate، یادداشت‌های تکمیلی، جزئیات شواهد و بررسی‌کننده تداخل برای کل نسخه را باز کنید.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Pro+ را ۱۴ روز رایگان در وب امتحان کنید. بدون نیاز به کارت.

پرسش‌های متداول

Can I take Antithrombin alfa with Dabigatran etexilate?

MediHelp rates the interaction as major. Antithrombin alfa and Dabigatran etexilate 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. Antithrombin potentiates inhibition of thrombin and factor Xa by heparins, and together with the direct thrombin inhibitor dabigatran may increase anticoagulant effect. This raises the risk of serious bleeding.

How serious is the interaction between Antithrombin alfa and Dabigatran etexilate?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use where possible and monitor for bleeding with coagulation tests (aPTT, ecarin or thrombin time) if both are essential. Use short-acting parenteral options when antithrombin replacement is needed.

What other medicines interact with Dabigatran etexilate?

MediHelp also lists interactions of Dabigatran etexilate with, for example, Defibrotide, Ketorolac, Mifepristone. The full list is on the Dabigatran etexilate page.

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