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Interactions médicamenteuses

Heparin + Oritavancin

Gravité: Contre-indiquée

Heparin and Oritavancin: contraindicated interaction.

Dernière mise à jour

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Résumé

Oritavancin artificially prolongs aPTT for many days, so unfractionated heparin monitoring becomes unreliable. This may lead to inappropriate dosing and bleeding or thrombosis.

Ce que signifie cette interaction, en termes simples

Heparin and Oritavancin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Heparin belongs to Cardiovascular; Oritavancin belongs to Anti Bacterial.

Niveau de preuve: High

Pourquoi elle survient

Oritavancin binds phospholipid reagents used in coagulation assays, causing laboratory interference rather than a true pharmacodynamic effect.

Conduite à tenir

Avoid IV unfractionated heparin for the period stated in labeling after oritavancin. Use an alternative anticoagulant monitored by a non-aPTT method if needed.

Questions à poser à votre pharmacien

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Heparin with Oritavancin?

MediHelp rates the interaction as contraindicated. Heparin and Oritavancin are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Oritavancin artificially prolongs aPTT for many days, so unfractionated heparin monitoring becomes unreliable. This may lead to inappropriate dosing and bleeding or thrombosis.

How serious is the interaction between Heparin and Oritavancin?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid IV unfractionated heparin for the period stated in labeling after oritavancin. Use an alternative anticoagulant monitored by a non-aPTT method if needed.

What other medicines interact with Oritavancin?

MediHelp also lists interactions of Oritavancin with, for example, Warfarin, Carbamazepine, Cyclosporin. The full list is on the Oritavancin page.

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