相互作用
Apixaban + Fondaparinux
重症度: 重大
Apixaban and Fondaparinux: major interaction.
最終更新日 出典: US FDA label
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概要
Fondaparinux (a factor Xa-directed indirect inhibitor) and apixaban (a direct factor Xa inhibitor) both suppress thrombin generation or activity, so giving them together amounts to duplicate anticoagulation. The likelihood of serious bleeding rises without added therapeutic benefit.
この相互作用をわかりやすく説明すると
Apixaban and Fondaparinux can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Apixaban belongs to Cardiovascular; Fondaparinux belongs to Cardiovascular.
なぜ起こるのか
Duplicate anticoagulation at the coagulation cascade
対処法
Avoid overlapping anticoagulants; when switching, start the new agent at the time the next dose of the old one is due, and monitor for bleeding.
薬剤師に尋ねること
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、ApixabanとFondaparinuxの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
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参考文献
Fondaparinuxのその他の相互作用
Apixabanのその他の相互作用
よくある質問
Can I take Apixaban with Fondaparinux?
MediHelp rates the interaction as major. Apixaban and Fondaparinux can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Fondaparinux (a factor Xa-directed indirect inhibitor) and apixaban (a direct factor Xa inhibitor) both suppress thrombin generation or activity, so giving them together amounts to duplicate anticoagulation. The likelihood of serious bleeding rises without added therapeutic benefit.
How serious is the interaction between Apixaban and Fondaparinux?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid overlapping anticoagulants; when switching, start the new agent at the time the next dose of the old one is due, and monitor for bleeding.
What other medicines interact with Fondaparinux?
MediHelp also lists interactions of Fondaparinux with, for example, Defibrotide, Ketorolac, Abciximab. The full list is on the Fondaparinux page.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
