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Interactions médicamenteuses

Dabigatran + Dipyridamole

Gravité: Majeure

Dabigatran and Dipyridamole: major interaction.

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Résumé

Dipyridamole adds antiplatelet activity to dabigatran's anticoagulation and, as a P-glycoprotein inhibitor, may increase dabigatran exposure. Both effects raise bleeding risk, especially in renal impairment.

Ce que signifie cette interaction, en termes simples

Dabigatran and Dipyridamole 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.

Niveau de preuve: Moderate

Pourquoi elle survient

Additive effects on hemostasis plus P-glycoprotein inhibition by dipyridamole that raises dabigatran levels.

Conduite à tenir

Monitor for bleeding and renal function. Avoid the combination in patients with reduced creatinine clearance, following dabigatran labeling for P-gp inhibitors.

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?

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

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Questions fréquentes

Can I take Dabigatran with Dipyridamole?

MediHelp rates the interaction as major. Dabigatran and Dipyridamole 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. Dipyridamole adds antiplatelet activity to dabigatran's anticoagulation and, as a P-glycoprotein inhibitor, may increase dabigatran exposure. Both effects raise bleeding risk, especially in renal impairment.

How serious is the interaction between Dabigatran and Dipyridamole?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for bleeding and renal function. Avoid the combination in patients with reduced creatinine clearance, following dabigatran labeling for P-gp inhibitors.

What other medicines interact with Dipyridamole?

MediHelp also lists interactions of Dipyridamole with, for example, Riociguat, Adenosine, Betrixaban. The full list is on the Dipyridamole page.

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Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

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