Interazioni tra farmaci
Oritavancin + Warfarin
Gravità: Moderata
Oritavancin and Warfarin: moderate interaction.
Ultimo aggiornamento
Per operatori sanitari — solo a scopo di riferimento. Questa pagina è una sintesi breve, non è un parere medico e non sostituisce il RCP ufficiale né il giudizio clinico. Verificare sempre prima di prescrivere o dispensare.
Il contenuto clinico di questa pagina è disponibile solo in inglese.
Sintesi
Oritavancin artificially prolongs PT/INR and aPTT in laboratory tests for hours to days after dosing, so coagulation results may not reflect true anticoagulation in warfarin-treated patients. Oritavancin may also modestly raise warfarin exposure, so true bleeding risk may be increased.
Cosa significa questa interazione in parole semplici
Oritavancin and Warfarin 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.
Oritavancin belongs to Anti Bacterial; Warfarin belongs to Cardiovascular.
Perché avviene
Oritavancin binds and interferes with phospholipid reagents used in clotting assays, and may weakly inhibit CYP2C9 and so reduce warfarin clearance.
Cosa fare
Avoid relying on INR measurements shortly after oritavancin dosing and monitor the patient clinically for bleeding. Consider alternative anticoagulation monitoring or a different antibiotic if tight INR control is needed.
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?
Per gli utenti Pro+
Sblocca la pagina completa
Crei un account e avvii una prova di Pro+ per sbloccare le indicazioni complete sulla gestione di Oritavancin e Warfarin, le note aggiuntive, il dettaglio delle evidenze e il controllo delle interazioni per un'intera prescrizione.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Provi Pro+ gratis per 7 giorni sul web. Nessuna carta.
Altre interazioni di Oritavancin
- Heparin + Oritavancin Controindicata
- Carbamazepine + Oritavancin Minore
- Cyclosporin + Oritavancin Minore
- Ethosuximide + Oritavancin Minore
- Flecainide + Oritavancin Minore
- Oritavancin + Phenytoin Minore
Altre interazioni di Warfarin
- Defibrotide + Warfarin Controindicata
- Ketorolac + Warfarin Controindicata
- Abciximab + Warfarin Maggiore
- Acetylsalicylic acid + Warfarin Maggiore
- Adagrasib + Warfarin Maggiore
- Amiodarone + Warfarin Maggiore
Domande frequenti
Can I take Oritavancin with Warfarin?
MediHelp rates the interaction as moderate. Oritavancin and Warfarin 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. Oritavancin artificially prolongs PT/INR and aPTT in laboratory tests for hours to days after dosing, so coagulation results may not reflect true anticoagulation in warfarin-treated patients. Oritavancin may also modestly raise warfarin exposure, so true bleeding risk may be increased.
How serious is the interaction between Oritavancin and Warfarin?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid relying on INR measurements shortly after oritavancin dosing and monitor the patient clinically for bleeding. Consider alternative anticoagulation monitoring or a different antibiotic if tight INR control is needed.
What other medicines interact with Oritavancin?
MediHelp also lists interactions of Oritavancin with, for example, Heparin, Carbamazepine, Cyclosporin. The full list is on the Oritavancin page.
Monografie complete, posologie e verifica delle interazioni nell'app MediHelp
Apra il riferimento completo, verifichi le interazioni tra più farmaci e usi gli strumenti di posologia nell'app MediHelp.
