藥物交互作用
Andexanet alfa + Heparin
嚴重程度: 嚴重
Andexanet alfa and Heparin: 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
After andexanet alfa, unfractionated heparin may be unresponsive, with activated clotting times not prolonging as expected. This can lead to inadequate anticoagulation, for example during procedures.
用白話說明這項交互作用的意義
Andexanet alfa and Heparin 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.
Andexanet alfa belongs to Cardiovascular; Heparin belongs to Cardiovascular.
為什麼會發生
Andexanet alfa binds heparin-antithrombin complexes, neutralizing heparin's anticoagulant effect.
處置方式
Do not use unfractionated heparin after andexanet alfa; select an alternative anticoagulant if one is needed.
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?
Heparin 的其他交互作用
常見問題
Can I take Andexanet alfa with Heparin?
MediHelp rates the interaction as major. Andexanet alfa and Heparin 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. After andexanet alfa, unfractionated heparin may be unresponsive, with activated clotting times not prolonging as expected. This can lead to inadequate anticoagulation, for example during procedures.
How serious is the interaction between Andexanet alfa and Heparin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use unfractionated heparin after andexanet alfa; select an alternative anticoagulant if one is needed.
What other medicines interact with Heparin?
MediHelp also lists interactions of Heparin with, for example, Defibrotide, Ketorolac, Oritavancin. The full list is on the Heparin 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。
