Drug Interactions

Drug interactions between Crestor and warfarin

Results for the following 2 drugs:

Crestor (rosuvastatin)
warfarin

Interactions between your selected drugs

warfarin ⇔ rosuvastatin

Applies to: warfarin and Crestor (rosuvastatin)

MONITOR: Rosuvastatin may enhance the hypoprothrombinemic effect of warfarin and other oral anticoagulants. According to the product labeling, administration of rosuvastatin to patients stabilized on warfarin resulted in clinically significant rises in the INR (greater than 4, baseline 2 to 3). The mechanism of interaction is unknown. Coadministration of rosuvastatin 40 mg and warfarin 20 mg did not alter the plasma concentrations of warfarin.

MANAGEMENT: Caution is recommended if rosuvastatin is used concomitantly with oral anticoagulants. The INR should be checked frequently and anticoagulant dosage adjusted accordingly, particularly following initiation, discontinuation or change of dosage of rosuvastatin in patients who are stabilized on their anticoagulant regimen. Patients should be advised to promptly report any signs of bleeding to their physician, including pain, swelling, headache, dizziness, weakness, prolonged bleeding from cuts, increased menstrual flow, vaginal bleeding, nosebleeds, bleeding of gums from brushing, unusual bleeding or bruising, red or brown urine, or red or black stools.

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