相互作用
Bivalirudin + Tirofiban
重症度: 重大
Bivalirudin and Tirofiban: major interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Bivalirudin may be used with GP IIb/IIIa inhibitors in PCI, but combined use increases bleeding risk.
この相互作用をわかりやすく説明すると
Bivalirudin 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.
なぜ起こるのか
Additive effects of direct thrombin inhibition and platelet GP IIb/IIIa blockade.
対処法
Use only when protocol-directed; monitor ACT, hemoglobin, platelet count and access-site 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、Bivalirudin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
WebでPro+を14日間無料でお試し。カード登録不要。
Tirofibanのその他の相互作用
よくある質問
Can I take Bivalirudin with Tirofiban?
MediHelp rates the interaction as major. Bivalirudin 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. Bivalirudin may be used with GP IIb/IIIa inhibitors in PCI, but combined use increases bleeding risk.
How serious is the interaction between Bivalirudin 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: Use only when protocol-directed; monitor ACT, hemoglobin, platelet count and access-site bleeding.
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。
