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Interações medicamentosas

Dienogest / estradiol valerate + Tranexamic acid

Gravidade: Contraindicada

Dienogest / estradiol valerate and Tranexamic acid: contraindicated interaction.

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Resumo

Oral tranexamic acid is antifibrinolytic and estrogen-containing contraceptives are prothrombotic. Together they raise the risk of venous and arterial thrombosis, and oral tranexamic acid labeling contraindicates use with combined hormonal contraceptives.

O que esta interação significa em palavras simples

Dienogest / estradiol valerate and Tranexamic acid 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.

Nível de evidência: Moderate

Por que acontece

Additive prothrombotic effects of fibrinolysis inhibition and estrogen-induced increases in clotting factors.

O que fazer

Avoid the combination; use non-hormonal or progestin-only contraception while taking tranexamic acid, or choose another heavy-bleeding treatment.

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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Perguntas frequentes

Can I take Dienogest / estradiol valerate with Tranexamic acid?

MediHelp rates the interaction as contraindicated. Dienogest / estradiol valerate and Tranexamic acid 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. Oral tranexamic acid is antifibrinolytic and estrogen-containing contraceptives are prothrombotic. Together they raise the risk of venous and arterial thrombosis, and oral tranexamic acid labeling contraindicates use with combined hormonal contraceptives.

How serious is the interaction between Dienogest / estradiol valerate and Tranexamic acid?

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 the combination; use non-hormonal or progestin-only contraception while taking tranexamic acid, or choose another heavy-bleeding treatment.

What other medicines interact with Tranexamic acid?

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

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