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相互作用

Tranexamic acid + Tretinoin

重症度: 重大

Tranexamic acid and Tretinoin: major interaction.

最終更新日

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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

Tranexamic acid is antifibrinolytic and oral tretinoin used for acute promyelocytic leukaemia is associated with thrombotic events. Together they may add to the risk of thrombosis, and some labeling advises caution. The concern is chiefly with systemic tretinoin.

この相互作用をわかりやすく説明すると

Tranexamic acid and Tretinoin 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.

Tranexamic acid belongs to Cardiovascular; Tretinoin belongs to Dermatology.

エビデンスレベル: Low

なぜ起こるのか

Additive prothrombotic effects: tranexamic acid inhibits fibrinolysis while tretinoin is associated with a procoagulant state.

対処法

Avoid the combination where possible, particularly in acute promyelocytic leukaemia with coagulopathy. If it is necessary, monitor for signs of venous or arterial thrombosis and coagulation parameters.

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、Tranexamic acidとTretinoin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 Tranexamic acid with Tretinoin?

MediHelp rates the interaction as major. Tranexamic acid and Tretinoin 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. Tranexamic acid is antifibrinolytic and oral tretinoin used for acute promyelocytic leukaemia is associated with thrombotic events. Together they may add to the risk of thrombosis, and some labeling advises caution. The concern is chiefly with systemic tretinoin.

How serious is the interaction between Tranexamic acid and Tretinoin?

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, particularly in acute promyelocytic leukaemia with coagulopathy. If it is necessary, monitor for signs of venous or arterial thrombosis and coagulation parameters.

What other medicines interact with Tranexamic acid?

MediHelp also lists interactions of Tranexamic acid with, for example, Dienogest / estradiol valerate, Ethinyl estradiol-drospirenone, Ethinyl estradiol-levonorgestrel. The full list is on the Tranexamic acid 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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