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藥物交互作用

Betrixaban + Tirofiban

嚴重程度: 嚴重

Betrixaban and Tirofiban: 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

Combining a glycoprotein IIb/IIIa inhibitor with a factor Xa inhibitor raises the risk of serious bleeding. Both agents impair hemostasis through different pathways.

用白話說明這項交互作用的意義

Betrixaban and Tirofiban 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.

證據等級: Moderate

為什麼會發生

Additive pharmacodynamic effects: factor Xa inhibition by betrixaban plus inhibition of platelet aggregation by tirofiban.

處置方式

Avoid the combination where possible, or limit its duration and monitor closely for bleeding and falls in hemoglobin. Reassess the need for both agents daily.

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.

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Betrixaban 與 Tirofiban 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Betrixaban with Tirofiban?

MediHelp rates the interaction as major. Betrixaban and Tirofiban 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. Combining a glycoprotein IIb/IIIa inhibitor with a factor Xa inhibitor raises the risk of serious bleeding. Both agents impair hemostasis through different pathways.

How serious is the interaction between Betrixaban and Tirofiban?

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, or limit its duration and monitor closely for bleeding and falls in hemoglobin. Reassess the need for both agents daily.

What other medicines interact with Tirofiban?

MediHelp also lists interactions of Tirofiban with, for example, Abrocitinib, Acalabrutinib, Acetylsalicylic acid. The full list is on the Tirofiban page.

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