Interactions médicamenteuses
Apixaban + Celecoxib
Gravité: Majeure
Apixaban and Celecoxib: major interaction.
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Résumé
Celecoxib has less antiplatelet effect than nonselective NSAIDs but can still cause gastrointestinal mucosal injury, and apixaban adds anticoagulation. The combination increases the risk of clinically significant bleeding.
Ce que signifie cette interaction, en termes simples
Apixaban and Celecoxib 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.
Apixaban belongs to Cardiovascular; Celecoxib belongs to Musculoskeletal.
Pourquoi elle survient
Additive bleeding risk from NSAID mucosal injury and factor Xa inhibition.
Conduite à tenir
Avoid if possible and use paracetamol for pain. If celecoxib is required, give the lowest dose for the shortest time with gastroprotection and monitor for bleeding.
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 Celecoxib
- Celecoxib + Ketorolac Contre-indiquée
- Celecoxib + Ketorolac intranasal Contre-indiquée
- Aceclofenac + Celecoxib Majeure
- Acemetacin + Celecoxib Majeure
- Amiloride + Celecoxib Majeure
- Betrixaban + Celecoxib Majeure
Autres interactions de Apixaban
- Apixaban + Dabigatran Contre-indiquée
- Apixaban + Defibrotide Contre-indiquée
- Apixaban + Edoxaban Contre-indiquée
- Apixaban + Ketorolac Contre-indiquée
- Apixaban + Mifepristone Contre-indiquée
- Abciximab + Apixaban Majeure
Questions fréquentes
Can I take Apixaban with Celecoxib?
MediHelp rates the interaction as major. Apixaban and Celecoxib 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. Celecoxib has less antiplatelet effect than nonselective NSAIDs but can still cause gastrointestinal mucosal injury, and apixaban adds anticoagulation. The combination increases the risk of clinically significant bleeding.
How serious is the interaction between Apixaban and Celecoxib?
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 if possible and use paracetamol for pain. If celecoxib is required, give the lowest dose for the shortest time with gastroprotection and monitor for bleeding.
What other medicines interact with Celecoxib?
MediHelp also lists interactions of Celecoxib with, for example, Ketorolac, Ketorolac intranasal, Aceclofenac. The full list is on the Celecoxib page.
Monographies complètes, posologies et vérificateur d'interactions dans l'application MediHelp
Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.
