Interactions médicamenteuses
Antithrombin alfa + Dabigatran etexilate
Gravité: Majeure
Antithrombin alfa and Dabigatran etexilate: major interaction.
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Résumé
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.
Ce que signifie cette interaction, en termes simples
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.
Pourquoi elle survient
Additive anticoagulant effect through enhanced endogenous thrombin inhibition combined with direct thrombin inhibition.
Conduite à tenir
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.
Questions à poser à votre pharmacien
- 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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Autres interactions de Dabigatran etexilate
- Dabigatran etexilate + Defibrotide Contre-indiquée
- Dabigatran etexilate + Ketorolac Contre-indiquée
- Dabigatran etexilate + Mifepristone Contre-indiquée
- Abciximab + Dabigatran etexilate Majeure
- Alteplase + Dabigatran etexilate Majeure
- Amiodarone + Dabigatran etexilate Majeure
Questions fréquentes
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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