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Interactions médicamenteuses

Tranexamic acid + Tretinoin

Gravité: Majeure

Tranexamic acid and Tretinoin: major interaction.

Dernière mise à jour

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Résumé

Tranexamic acid is antifibrinolytic and oral tretinoin used for acute promyelocytic leukaemia is associated with thrombotic events. Together they may add to the risk of thrombosis, and some labeling advises caution. The concern is chiefly with systemic tretinoin.

Ce que signifie cette interaction, en termes simples

Tranexamic acid and Tretinoin 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.

Tranexamic acid belongs to Cardiovascular; Tretinoin belongs to Dermatology.

Niveau de preuve: Low

Pourquoi elle survient

Additive prothrombotic effects: tranexamic acid inhibits fibrinolysis while tretinoin is associated with a procoagulant state.

Conduite à tenir

Avoid the combination where possible, particularly in acute promyelocytic leukaemia with coagulopathy. If it is necessary, monitor for signs of venous or arterial thrombosis and coagulation parameters.

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 Tranexamic acid with Tretinoin?

MediHelp rates the interaction as major. Tranexamic acid and Tretinoin 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. Tranexamic acid is antifibrinolytic and oral tretinoin used for acute promyelocytic leukaemia is associated with thrombotic events. Together they may add to the risk of thrombosis, and some labeling advises caution. The concern is chiefly with systemic tretinoin.

How serious is the interaction between Tranexamic acid and Tretinoin?

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 the combination where possible, particularly in acute promyelocytic leukaemia with coagulopathy. If it is necessary, monitor for signs of venous or arterial thrombosis and coagulation parameters.

What other medicines interact with Tranexamic acid?

MediHelp also lists interactions of Tranexamic acid with, for example, Dienogest / estradiol valerate, Ethinyl estradiol-drospirenone, Ethinyl estradiol-levonorgestrel. The full list is on the Tranexamic acid 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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