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相互作用

Antithrombin iii + Piperacillin-tazobactam

重症度: 中等度

Antithrombin iii and Piperacillin-tazobactam: moderate interaction.

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概要

Piperacillin can impair platelet aggregation and may increase bleeding tendency. Antithrombin III potentiates heparin-type anticoagulation, so the bleeding risk may be additive. Clinical data are limited.

この相互作用をわかりやすく説明すると

Antithrombin iii and Piperacillin-tazobactam 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.

エビデンスレベル: Low

なぜ起こるのか

Additive hemostatic impairment from penicillin-related platelet dysfunction and enhanced antithrombin-mediated anticoagulation.

対処法

Monitor for bleeding and coagulation tests, especially if heparin is co-administered. Reduce anticoagulant dose if bleeding or excessive anticoagulation occurs.

薬剤師に尋ねること

  • 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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よくある質問

Can I take Antithrombin iii with Piperacillin-tazobactam?

MediHelp rates the interaction as moderate. Antithrombin iii and Piperacillin-tazobactam 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. Piperacillin can impair platelet aggregation and may increase bleeding tendency. Antithrombin III potentiates heparin-type anticoagulation, so the bleeding risk may be additive. Clinical data are limited.

How serious is the interaction between Antithrombin iii and Piperacillin-tazobactam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for bleeding and coagulation tests, especially if heparin is co-administered. Reduce anticoagulant dose if bleeding or excessive anticoagulation occurs.

What other medicines interact with Piperacillin-tazobactam?

MediHelp also lists interactions of Piperacillin-tazobactam with, for example, Vancomycin, Amikacin, Antithrombin alfa. The full list is on the Piperacillin-tazobactam page.

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