藥物交互作用
Amiodarone + Dabigatran etexilate
嚴重程度: 嚴重
Amiodarone and Dabigatran etexilate: 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
Amiodarone inhibits P-glycoprotein and raises dabigatran plasma concentrations, increasing anticoagulant effect and bleeding risk. The increase is moderate in patients with normal renal function but is more important in older patients or those with renal impairment.
用白話說明這項交互作用的意義
Amiodarone and Dabigatran etexilate 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.
Amiodarone belongs to Cardiovascular; Dabigatran etexilate belongs to Cardiovascular.
為什麼會發生
Inhibition of P-glycoprotein-mediated efflux of dabigatran etexilate in the gut, increasing absorption.
處置方式
Monitor for bleeding and renal function, and consider a lower dabigatran dose per local labeling in patients with reduced renal function. Avoid the combination in severe renal impairment.
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?
Dabigatran etexilate 的其他交互作用
Amiodarone 的其他交互作用
常見問題
Can I take Amiodarone with Dabigatran etexilate?
MediHelp rates the interaction as major. Amiodarone and Dabigatran etexilate 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. Amiodarone inhibits P-glycoprotein and raises dabigatran plasma concentrations, increasing anticoagulant effect and bleeding risk. The increase is moderate in patients with normal renal function but is more important in older patients or those with renal impairment.
How serious is the interaction between Amiodarone and Dabigatran etexilate?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for bleeding and renal function, and consider a lower dabigatran dose per local labeling in patients with reduced renal function. Avoid the combination in severe renal impairment.
What other medicines interact with Dabigatran etexilate?
MediHelp also lists interactions of Dabigatran etexilate with, for example, Defibrotide, Ketorolac, Mifepristone. The full list is on the Dabigatran etexilate 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。
