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相互作用

Caplacizumab + Clopidogrel

重症度: 重大

Caplacizumab and Clopidogrel: major interaction.

最終更新日

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概要

Caplacizumab inhibits von Willebrand factor-platelet interaction, and adding clopidogrel increases the risk of bleeding. Mucosal and other bleeding events may be more frequent.

この相互作用をわかりやすく説明すると

Caplacizumab and Clopidogrel 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.

Caplacizumab belongs to Cardiovascular; Clopidogrel belongs to Cardiovascular.

エビデンスレベル: Moderate

なぜ起こるのか

Additive pharmacodynamic effect on primary hemostasis from anti-vWF activity and P2Y12 inhibition.

対処法

Avoid combining unless clearly necessary; if used, monitor for bleeding and consider holding caplacizumab if bleeding occurs.

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.

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アカウントを作成してPro+トライアルを始めると、CaplacizumabとClopidogrel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 Caplacizumab with Clopidogrel?

MediHelp rates the interaction as major. Caplacizumab and Clopidogrel 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. Caplacizumab inhibits von Willebrand factor-platelet interaction, and adding clopidogrel increases the risk of bleeding. Mucosal and other bleeding events may be more frequent.

How serious is the interaction between Caplacizumab and Clopidogrel?

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 combining unless clearly necessary; if used, monitor for bleeding and consider holding caplacizumab if bleeding occurs.

What other medicines interact with Clopidogrel?

MediHelp also lists interactions of Clopidogrel with, for example, Ombitasvir / paritaprevir / ritonavir and dasabuvir, Abrocitinib, Acetylsalicylic acid. The full list is on the Clopidogrel 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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