Interactions médicamenteuses
Econazole + Warfarin
Gravité: Modérée
Econazole and Warfarin: moderate interaction.
Dernière mise à jour
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Résumé
Topical econazole applied over large areas, to genital skin or under occlusive dressings can be absorbed enough to raise the INR in patients taking warfarin. Bleeding episodes have been reported with azole antifungals used this way.
Ce que signifie cette interaction, en termes simples
Econazole 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.
Econazole belongs to Anti Fungals; Warfarin belongs to Cardiovascular.
Pourquoi elle survient
Systemically absorbed econazole inhibits CYP2C9 and other CYP enzymes, reducing clearance of the more potent S-warfarin.
Conduite à tenir
Check INR within several days of starting econazole, particularly with extensive, genital or occluded application, and adjust the warfarin dose as needed. Limit the treated area where possible.
Questions à poser à votre pharmacien
- 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?
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Autres interactions de Warfarin
- Defibrotide + Warfarin Contre-indiquée
- Ketorolac + Warfarin Contre-indiquée
- Abciximab + Warfarin Majeure
- Acetylsalicylic acid + Warfarin Majeure
- Adagrasib + Warfarin Majeure
- Amiodarone + Warfarin Majeure
Questions fréquentes
Can I take Econazole with Warfarin?
MediHelp rates the interaction as moderate. Econazole 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. Topical econazole applied over large areas, to genital skin or under occlusive dressings can be absorbed enough to raise the INR in patients taking warfarin. Bleeding episodes have been reported with azole antifungals used this way.
How serious is the interaction between Econazole 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: Check INR within several days of starting econazole, particularly with extensive, genital or occluded application, and adjust the warfarin dose as needed. Limit the treated area where possible.
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.
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.
