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相互作用

Betrixaban + Tirofiban

重症度: 重大

Betrixaban and Tirofiban: major interaction.

最終更新日

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概要

Combining a glycoprotein IIb/IIIa inhibitor with a factor Xa inhibitor raises the risk of serious bleeding. Both agents impair hemostasis through different pathways.

この相互作用をわかりやすく説明すると

Betrixaban and Tirofiban 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.

エビデンスレベル: Moderate

なぜ起こるのか

Additive pharmacodynamic effects: factor Xa inhibition by betrixaban plus inhibition of platelet aggregation by tirofiban.

対処法

Avoid the combination where possible, or limit its duration and monitor closely for bleeding and falls in hemoglobin. Reassess the need for both agents daily.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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、BetrixabanとTirofiban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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よくある質問

Can I take Betrixaban with Tirofiban?

MediHelp rates the interaction as major. Betrixaban and Tirofiban 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. Combining a glycoprotein IIb/IIIa inhibitor with a factor Xa inhibitor raises the risk of serious bleeding. Both agents impair hemostasis through different pathways.

How serious is the interaction between Betrixaban and Tirofiban?

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 the combination where possible, or limit its duration and monitor closely for bleeding and falls in hemoglobin. Reassess the need for both agents daily.

What other medicines interact with Tirofiban?

MediHelp also lists interactions of Tirofiban with, for example, Abrocitinib, Acalabrutinib, Acetylsalicylic acid. The full list is on the Tirofiban 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。

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