Interações medicamentosas
Cangrelor + Clopidogrel
Gravidade: Grave
Cangrelor and Clopidogrel: major interaction.
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Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.
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Resumo
Cangrelor binds the P2Y12 receptor reversibly and, if clopidogrel is given during the infusion, blocks access of clopidogrel's active metabolite. The expected antiplatelet effect of clopidogrel is lost.
O que esta interação significa em palavras simples
Cangrelor 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.
Cangrelor belongs to Cardiovascular; Clopidogrel belongs to Cardiovascular.
Por que acontece
Competitive occupancy of the P2Y12 receptor by cangrelor prevents binding of clopidogrel's irreversible active metabolite.
O que fazer
Give clopidogrel only after the cangrelor infusion has been stopped, not during it.
O que perguntar ao farmacêutico
- 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?
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Outras interações de Clopidogrel
Outras interações de Cangrelor
- Cangrelor + Prasugrel Grave
- Cangrelor + Warfarin Moderada
Perguntas frequentes
Can I take Cangrelor with Clopidogrel?
MediHelp rates the interaction as major. Cangrelor 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. Cangrelor binds the P2Y12 receptor reversibly and, if clopidogrel is given during the infusion, blocks access of clopidogrel's active metabolite. The expected antiplatelet effect of clopidogrel is lost.
How serious is the interaction between Cangrelor 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: Give clopidogrel only after the cangrelor infusion has been stopped, not during it.
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.
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