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Interazioni tra farmaci

Defibrotide + Fondaparinux

Gravità: Controindicata

Defibrotide and Fondaparinux: contraindicated interaction.

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Sintesi

Defibrotide enhances fibrinolysis and has antithrombotic effects, so with fondaparinux the risk of serious bleeding is increased. Defibrotide labeling contraindicates concurrent systemic anticoagulant or fibrinolytic therapy.

Cosa significa questa interazione in parole semplici

Defibrotide and Fondaparinux 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.

Defibrotide belongs to Cardiovascular; Fondaparinux belongs to Cardiovascular.

Livello di evidenza: Moderate

Perché avviene

Additive pharmacodynamic effects on hemostasis through factor Xa inhibition plus enhanced fibrinolysis.

Cosa fare

Do not co-administer; hold fondaparinux during defibrotide treatment or use an alternative plan. Line maintenance or reopening of central lines is the usual exception.

Cosa chiedere al farmacista

  • 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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Domande frequenti

Can I take Defibrotide with Fondaparinux?

MediHelp rates the interaction as contraindicated. Defibrotide and Fondaparinux 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. Defibrotide enhances fibrinolysis and has antithrombotic effects, so with fondaparinux the risk of serious bleeding is increased. Defibrotide labeling contraindicates concurrent systemic anticoagulant or fibrinolytic therapy.

How serious is the interaction between Defibrotide and Fondaparinux?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not co-administer; hold fondaparinux during defibrotide treatment or use an alternative plan. Line maintenance or reopening of central lines is the usual exception.

What other medicines interact with Fondaparinux?

MediHelp also lists interactions of Fondaparinux with, for example, Ketorolac, Abciximab, Aceclofenac. The full list is on the Fondaparinux page.

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