藥物交互作用
Acetylsalicylic acid + Prasugrel
嚴重程度: 嚴重
Acetylsalicylic acid and Prasugrel: major interaction.
最後更新
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本頁的臨床內容僅提供英文版。
摘要
Aspirin and prasugrel are combined deliberately in acute coronary syndrome and after stenting, but together they substantially increase the risk of major and fatal bleeding. Risk is higher in elderly patients, those with low body weight, or with prior stroke.
用白話說明這項交互作用的意義
Acetylsalicylic acid and Prasugrel 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; Prasugrel belongs to Cardiovascular.
為什麼會發生
Additive platelet inhibition through irreversible COX-1 blockade (aspirin) and irreversible P2Y12 receptor blockade (prasugrel).
處置方式
Use only when indicated, keep aspirin at low maintenance dose, and monitor for bleeding and hemoglobin; limit duration according to guidelines and consider alternatives in high-bleeding-risk patients.
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?
Acetylsalicylic acid 的其他交互作用
Prasugrel 的其他交互作用
常見問題
Can I take Acetylsalicylic acid with Prasugrel?
MediHelp rates the interaction as major. Acetylsalicylic acid and Prasugrel 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. Aspirin and prasugrel are combined deliberately in acute coronary syndrome and after stenting, but together they substantially increase the risk of major and fatal bleeding. Risk is higher in elderly patients, those with low body weight, or with prior stroke.
How serious is the interaction between Acetylsalicylic acid and Prasugrel?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use only when indicated, keep aspirin at low maintenance dose, and monitor for bleeding and hemoglobin; limit duration according to guidelines and consider alternatives in high-bleeding-risk patients.
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.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用，並使用劑量工具。
