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Interazioni tra farmaci

Clopidogrel + Daprodustat

Gravità: Moderata

Clopidogrel and Daprodustat: moderate interaction.

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Sintesi

The acyl glucuronide metabolite of clopidogrel inhibits CYP2C8, the main enzyme that clears daprodustat. Exposure to daprodustat can rise, with a greater risk of excessive hemoglobin response and related adverse effects such as thrombotic events.

Cosa significa questa interazione in parole semplici

Clopidogrel and Daprodustat 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.

Clopidogrel belongs to Cardiovascular; Daprodustat belongs to Endocrine.

Livello di evidenza: Moderate

Perché avviene

Inhibition of CYP2C8-mediated metabolism of daprodustat by clopidogrel and its glucuronide metabolite.

Cosa fare

Reduce the daprodustat starting dose as per labeling for moderate CYP2C8 inhibitors. Monitor hemoglobin and adjust the dose when clopidogrel is started or stopped.

Cosa chiedere al farmacista

  • 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?

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

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Domande frequenti

Can I take Clopidogrel with Daprodustat?

MediHelp rates the interaction as moderate. Clopidogrel and Daprodustat 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. The acyl glucuronide metabolite of clopidogrel inhibits CYP2C8, the main enzyme that clears daprodustat. Exposure to daprodustat can rise, with a greater risk of excessive hemoglobin response and related adverse effects such as thrombotic events.

How serious is the interaction between Clopidogrel and Daprodustat?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the daprodustat starting dose as per labeling for moderate CYP2C8 inhibitors. Monitor hemoglobin and adjust the dose when clopidogrel is started or stopped.

What other medicines interact with Clopidogrel?

MediHelp also lists interactions of Clopidogrel with, for example, Ombitasvir / paritaprevir / ritonavir and dasabuvir, Abrocitinib, Acetylsalicylic acid. The full list is on the Clopidogrel page.

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