Drug interactions between Aspirin Buffered and ticlopidine

Results for the following 2 drugs:
Aspirin Buffered (aluminum hydroxide/aspirin/calcium carbonate/magnesium hydroxide)
ticlopidine

Interactions between your selected drugs

aspirin ↔ ticlopidine

Applies to:Aspirin Buffered (aluminum hydroxide/aspirin/calcium carbonate/magnesium hydroxide) and ticlopidine

MONITOR: Although their use often overlaps in clinical practice, ticlopidine has been reported to potentiate the effect of aspirin on collagen-induced platelet aggregation. Other salicylates may also be affected. The risk of bleeding may be increased, especially in patients with a history of gastrointestinal (GI) ulceration or bleeding. The manufacturer of ticlopidine recommends against concomitant long-term use of aspirin. In many patients who have received implanted cardiac stents, however, ticlopidine and aspirin are used concomitantly for anticoagulant effects.

MANAGEMENT: Patients should be monitored for signs and symptoms of bleeding, especially GI bleeding, if aspirin or salicylates and ticlopidine are coadministered. Patients should be advised to promptly report any signs of bleeding to their physician, including abdominal pain, vomiting blood, red or black stools, swelling, headache, dizziness, weakness, prolonged bleeding from cuts, nosebleeds, bleeding of gums from brushing, red or brown urine, or other unusual bleeding or bruising. Patients should also be counseled to avoid any other over-the-counter salicylate products.

calcium carbonate ↔ ticlopidine

Applies to:Aspirin Buffered (aluminum hydroxide/aspirin/calcium carbonate/magnesium hydroxide) and ticlopidine

Coadministration of oral medications that contain magnesium, aluminum, calcium, or sodium (i.e., antacids) has decreased ticlopidine serum concentrations by 18%. Administration of these drugs should be separated by at least three hours.

ticlopidine ↔ aluminum hydroxide

Applies to:ticlopidine and Aspirin Buffered (aluminum hydroxide/aspirin/calcium carbonate/magnesium hydroxide)

Coadministration of oral medications that contain magnesium, aluminum, calcium, or sodium (i.e., antacids) has decreased ticlopidine serum concentrations by 18%. Administration of these drugs should be separated by at least three hours.

ticlopidine ↔ magnesium hydroxide

Applies to:ticlopidine and Aspirin Buffered (aluminum hydroxide/aspirin/calcium carbonate/magnesium hydroxide)

Coadministration of oral medications that contain magnesium, aluminum, calcium, or sodium (i.e., antacids) has decreased ticlopidine serum concentrations by 18%. Administration of these drugs should be separated by at least three hours.

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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