藥物交互作用
Tranexamic acid + Tretinoin
嚴重程度: 嚴重
Tranexamic acid and Tretinoin: major interaction.
最後更新
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摘要
Tranexamic acid is antifibrinolytic and oral tretinoin used for acute promyelocytic leukaemia is associated with thrombotic events. Together they may add to the risk of thrombosis, and some labeling advises caution. The concern is chiefly with systemic tretinoin.
用白話說明這項交互作用的意義
Tranexamic acid and Tretinoin 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.
Tranexamic acid belongs to Cardiovascular; Tretinoin belongs to Dermatology.
為什麼會發生
Additive prothrombotic effects: tranexamic acid inhibits fibrinolysis while tretinoin is associated with a procoagulant state.
處置方式
Avoid the combination where possible, particularly in acute promyelocytic leukaemia with coagulopathy. If it is necessary, monitor for signs of venous or arterial thrombosis and coagulation parameters.
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?
Tranexamic acid 的其他交互作用
Tretinoin 的其他交互作用
常見問題
Can I take Tranexamic acid with Tretinoin?
MediHelp rates the interaction as major. Tranexamic acid and Tretinoin 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. Tranexamic acid is antifibrinolytic and oral tretinoin used for acute promyelocytic leukaemia is associated with thrombotic events. Together they may add to the risk of thrombosis, and some labeling advises caution. The concern is chiefly with systemic tretinoin.
How serious is the interaction between Tranexamic acid and Tretinoin?
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, particularly in acute promyelocytic leukaemia with coagulopathy. If it is necessary, monitor for signs of venous or arterial thrombosis and coagulation parameters.
What other medicines interact with Tranexamic acid?
MediHelp also lists interactions of Tranexamic acid with, for example, Dienogest / estradiol valerate, Ethinyl estradiol-drospirenone, Ethinyl estradiol-levonorgestrel. The full list is on the Tranexamic acid 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。
