藥物交互作用
Cangrelor + Clopidogrel
嚴重程度: 嚴重
Cangrelor and Clopidogrel: major interaction.
最後更新
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摘要
Cangrelor binds the P2Y12 receptor reversibly and, if clopidogrel is given during the infusion, blocks access of clopidogrel's active metabolite. The expected antiplatelet effect of clopidogrel is lost.
用白話說明這項交互作用的意義
Cangrelor and Clopidogrel 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.
Cangrelor belongs to Cardiovascular; Clopidogrel belongs to Cardiovascular.
為什麼會發生
Competitive occupancy of the P2Y12 receptor by cangrelor prevents binding of clopidogrel's irreversible active metabolite.
處置方式
Give clopidogrel only after the cangrelor infusion has been stopped, not during it.
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?
Clopidogrel 的其他交互作用
Cangrelor 的其他交互作用
常見問題
Can I take Cangrelor with Clopidogrel?
MediHelp rates the interaction as major. Cangrelor and Clopidogrel 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. Cangrelor binds the P2Y12 receptor reversibly and, if clopidogrel is given during the infusion, blocks access of clopidogrel's active metabolite. The expected antiplatelet effect of clopidogrel is lost.
How serious is the interaction between Cangrelor and Clopidogrel?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give clopidogrel only after the cangrelor infusion has been stopped, not during it.
What other medicines interact with Clopidogrel?
MediHelp also lists interactions of Clopidogrel with, for example, Ombitasvir / paritaprevir / ritonavir and dasabuvir, Abrocitinib, Acetylsalicylic acid. The full list is on the Clopidogrel 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。
