藥物交互作用
Dabigatran + Dipyridamole
嚴重程度: 嚴重
Dabigatran and Dipyridamole: major interaction.
最後更新
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
Dipyridamole adds antiplatelet activity to dabigatran's anticoagulation and, as a P-glycoprotein inhibitor, may increase dabigatran exposure. Both effects raise bleeding risk, especially in renal impairment.
用白話說明這項交互作用的意義
Dabigatran and Dipyridamole 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.
為什麼會發生
Additive effects on hemostasis plus P-glycoprotein inhibition by dipyridamole that raises dabigatran levels.
處置方式
Monitor for bleeding and renal function. Avoid the combination in patients with reduced creatinine clearance, following dabigatran labeling for P-gp inhibitors.
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?
Dipyridamole 的其他交互作用
常見問題
Can I take Dabigatran with Dipyridamole?
MediHelp rates the interaction as major. Dabigatran and Dipyridamole 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. Dipyridamole adds antiplatelet activity to dabigatran's anticoagulation and, as a P-glycoprotein inhibitor, may increase dabigatran exposure. Both effects raise bleeding risk, especially in renal impairment.
How serious is the interaction between Dabigatran and Dipyridamole?
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. Avoid the combination in patients with reduced creatinine clearance, following dabigatran labeling for P-gp inhibitors.
What other medicines interact with Dipyridamole?
MediHelp also lists interactions of Dipyridamole with, for example, Riociguat, Adenosine, Betrixaban. The full list is on the Dipyridamole 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。