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藥物交互作用

Acetylsalicylic acid + Lornoxicam

嚴重程度: 嚴重

Acetylsalicylic acid and Lornoxicam: major interaction.

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僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

摘要

Taking aspirin with lornoxicam increases the risk of gastrointestinal ulceration and bleeding beyond that of either drug alone. The NSAID may also interfere with aspirin's antiplatelet effect.

用白話說明這項交互作用的意義

Acetylsalicylic acid and Lornoxicam 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.

Acetylsalicylic acid belongs to Musculoskeletal; Lornoxicam belongs to Musculoskeletal.

證據等級: Moderate

為什麼會發生

Additive inhibition of COX-1 reduces gastroprotective prostaglandins and platelet function, causing additive mucosal injury and bleeding tendency.

處置方式

Avoid the combination where possible; if both are needed, add a proton pump inhibitor and monitor for GI bleeding and anemia.

可向藥師詢問的問題

  • 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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  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Acetylsalicylic acid with Lornoxicam?

MediHelp rates the interaction as major. Acetylsalicylic acid and Lornoxicam 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. Taking aspirin with lornoxicam increases the risk of gastrointestinal ulceration and bleeding beyond that of either drug alone. The NSAID may also interfere with aspirin's antiplatelet effect.

How serious is the interaction between Acetylsalicylic acid and Lornoxicam?

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; if both are needed, add a proton pump inhibitor and monitor for GI bleeding and anemia.

What other medicines interact with Acetylsalicylic acid?

MediHelp also lists interactions of Acetylsalicylic acid with, for example, Ketorolac, Ketorolac intranasal, Abciximab. The full list is on the Acetylsalicylic acid page.

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