相互作用
Celecoxib + Prasugrel
重症度: 重大
Celecoxib and Prasugrel: major interaction.
最終更新日
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概要
Combining an NSAID with prasugrel increases the risk of bleeding, particularly gastrointestinal bleeding. Prasugrel already carries a substantial bleeding risk.
この相互作用をわかりやすく説明すると
Celecoxib and Prasugrel 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.
Celecoxib belongs to Musculoskeletal; Prasugrel belongs to Cardiovascular.
なぜ起こるのか
Additive effect of irreversible P2Y12 platelet inhibition and NSAID-related platelet dysfunction and mucosal injury.
対処法
Avoid chronic NSAID use where possible and use paracetamol as an alternative. If needed, use the lowest celecoxib dose briefly with a proton pump inhibitor 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、CelecoxibとPrasugrel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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Celecoxibのその他の相互作用
Prasugrelのその他の相互作用
よくある質問
Can I take Celecoxib with Prasugrel?
MediHelp rates the interaction as major. Celecoxib and Prasugrel 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 an NSAID with prasugrel increases the risk of bleeding, particularly gastrointestinal bleeding. Prasugrel already carries a substantial bleeding risk.
How serious is the interaction between Celecoxib and Prasugrel?
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 chronic NSAID use where possible and use paracetamol as an alternative. If needed, use the lowest celecoxib dose briefly with a proton pump inhibitor and monitor for bleeding.
What other medicines interact with Celecoxib?
MediHelp also lists interactions of Celecoxib with, for example, Ketorolac, Ketorolac intranasal, Aceclofenac. The full list is on the Celecoxib 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。
