Drug interactions between argatroban and Miradon

Results for the following 2 drugs:
argatroban
Miradon (anisindione)

Interactions between your selected drugs

anisindione ↔ argatroban

Applies to:Miradon (anisindione) and argatroban

MONITOR: Although their use often overlaps in clinical practice, the concomitant use of thrombin inhibitors and other anticoagulants may increase the risk of bleeding complications due to additive or synergistic effects on the clotting cascade. A small clinical trial (n=12) reported two minor bleeding events, but no pharmacokinetic interaction or serious adverse events after administration of low-dose argatroban and single-dose warfarin.

MANAGEMENT: Coadministration of thrombin inhibitors and all anticoagulants should be undertaken with caution and only after thorough assessment of risks and benefits. Current guidelines for transitioning from thrombin inhibitors to warfarin may be consulted. Close clinical and laboratory observation for bleeding complications is recommended.

See also...

Drug Interaction Classification

The classifications below are a guideline only. The relevance of a particular drug interaction to a specific patient is difficult to determine using this tool alone given the large number of variables that may apply.

Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.

Do not stop taking any medications without consulting your healthcare provider.


Disclaimer: Every effort has been made to ensure that the information provided by Multum is accurate, up-to-date, and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. Multum's drug information does not endorse drugs, diagnose patients, or recommend therapy. Multum's drug information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug of drug combination is safe, effective, or appropriate for any given patient. Multum Information Services, Inc. does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. Copyright 2000-2012 Multum Information Services, Inc. The information in contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse, or pharmacist.

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