Interazioni tra farmaci
Ketorolac + Warfarin
Gravità: Controindicata
Ketorolac and Warfarin: contraindicated interaction.
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Sintesi
Ketorolac inhibits platelet function and can cause gastrointestinal ulceration, so combined with warfarin it markedly increases the risk of serious bleeding. Ketorolac is contraindicated in patients at high bleeding risk and with anticoagulants per labeling.
Cosa significa questa interazione in parole semplici
Ketorolac and Warfarin 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.
Ketorolac belongs to Musculoskeletal; Warfarin belongs to Cardiovascular.
Perché avviene
Additive impairment of hemostasis: ketorolac inhibits platelet aggregation and damages gastric mucosa while warfarin reduces clotting factor synthesis.
Cosa fare
Avoid ketorolac in patients on warfarin and use a non-NSAID analgesic such as paracetamol. If an NSAID is unavoidable, monitor INR and watch for bleeding with gastroprotection.
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?
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Altre interazioni di Ketorolac
- Aceclofenac + Ketorolac Controindicata
- Acemetacin + Ketorolac Controindicata
- Acetylsalicylic acid + Ketorolac Controindicata
- Apixaban + Ketorolac Controindicata
- Argatroban + Ketorolac Controindicata
- Aspirin / citric acid / sodium bicarbonate + Ketorolac Controindicata
Altre interazioni di Warfarin
- Defibrotide + Warfarin Controindicata
- Abciximab + Warfarin Maggiore
- Acetylsalicylic acid + Warfarin Maggiore
- Adagrasib + Warfarin Maggiore
- Amiodarone + Warfarin Maggiore
- Amobarbital + Warfarin Maggiore
Domande frequenti
Can I take Ketorolac with Warfarin?
MediHelp rates the interaction as contraindicated. Ketorolac and Warfarin 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. Ketorolac inhibits platelet function and can cause gastrointestinal ulceration, so combined with warfarin it markedly increases the risk of serious bleeding. Ketorolac is contraindicated in patients at high bleeding risk and with anticoagulants per labeling.
How serious is the interaction between Ketorolac and Warfarin?
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 ketorolac in patients on warfarin and use a non-NSAID analgesic such as paracetamol. If an NSAID is unavoidable, monitor INR and watch for bleeding with gastroprotection.
What other medicines interact with Ketorolac?
MediHelp also lists interactions of Ketorolac with, for example, Aceclofenac, Acemetacin, Acetylsalicylic acid. The full list is on the Ketorolac page.
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