Interações medicamentosas
Argatroban + Ketorolac
Gravidade: Contraindicada
Argatroban and Ketorolac: contraindicated interaction.
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Resumo
Ketorolac inhibits platelet function and can cause gastrointestinal ulceration, while argatroban is a direct thrombin inhibitor, so bleeding risk is substantially increased. Ketorolac labeling contraindicates its use in patients at risk of bleeding and with concurrent anticoagulants.
O que esta interação significa em palavras simples
Argatroban and Ketorolac are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Argatroban belongs to Cardiovascular; Ketorolac belongs to Musculoskeletal.
Por que acontece
Additive hemostatic impairment from NSAID-mediated platelet inhibition and direct thrombin inhibition.
O que fazer
Avoid ketorolac in patients receiving argatroban and use a non-NSAID analgesic such as paracetamol or an appropriate alternative; monitor for bleeding if exposure has occurred.
O que perguntar ao farmacêutico
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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Outras interações de Ketorolac
- Aceclofenac + Ketorolac Contraindicada
- Acemetacin + Ketorolac Contraindicada
- Acetylsalicylic acid + Ketorolac Contraindicada
- Apixaban + Ketorolac Contraindicada
- Aspirin / citric acid / sodium bicarbonate + Ketorolac Contraindicada
- Aspirin rectal + Ketorolac Contraindicada
Outras interações de Argatroban
- Argatroban + Defibrotide Contraindicada
- Argatroban + Mifepristone Contraindicada
- Abciximab + Argatroban Grave
- Acalabrutinib + Argatroban Grave
- Acetylsalicylic acid + Argatroban Grave
- Alteplase + Argatroban Grave
Perguntas frequentes
Can I take Argatroban with Ketorolac?
MediHelp rates the interaction as contraindicated. Argatroban and Ketorolac are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Ketorolac inhibits platelet function and can cause gastrointestinal ulceration, while argatroban is a direct thrombin inhibitor, so bleeding risk is substantially increased. Ketorolac labeling contraindicates its use in patients at risk of bleeding and with concurrent anticoagulants.
How serious is the interaction between Argatroban and Ketorolac?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid ketorolac in patients receiving argatroban and use a non-NSAID analgesic such as paracetamol or an appropriate alternative; monitor for bleeding if exposure has occurred.
What other medicines interact with Ketorolac?
MediHelp also lists interactions of Ketorolac with, for example, Aceclofenac, Acemetacin, Acetylsalicylic acid. The full list is on the Ketorolac page.
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