Can you take Caplacizumab with Sertraline?
1 drug interaction and 24 additional warnings found for the following 2 drugs:
- caplacizumab
- sertraline
Drug interactions
Moderate drug interactions
Moderate:
sertraline caplacizumab
Applies to: sertraline and caplacizumab
Using caplacizumab together with sertraline may increase the risk of bleeding. The interaction may be more likely if you are elderly or have kidney or liver disease.
Talk to your doctor if you have any questions or concerns. Your doctor may already be aware of the risks, but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications.
You should seek immediate medical attention if you experience any unusual bleeding or bruising, or have other signs and symptoms of bleeding such as:
- dizziness
- lightheadedness
- red or black, tarry stools
- coughing up or vomiting fresh or dried blood that looks like coffee grounds
- severe headache
- weakness
It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Food/lifestyle interactions
Moderate food/lifestyle interactions
Moderate:
sertraline Food/Lifestyle
Applies to: sertraline
Using sertraline together with alcohol may increase side effects such as:
- dizziness
- drowsiness
- confusion
- difficulty concentrating
Some people may also experience impairment in thinking, judgment, and motor coordination.
You should avoid or limit the use of alcohol while being treated with sertraline.
In addition, taking sertraline with grapefruit or grapefruit juice is not recommended, as it has been reported that grapefruit juice can increase the blood levels of the medication, which may lead to more side effects.
Talk to your doctor or pharmacist if you have questions on how to take this or other medications you are prescribed.
Do not use more than the recommended dose of sertraline, and avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how the medication affects you.
It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medication without first talking to your doctor.
Disease interactions
23 potential interactions Applies to: 19 conditions, including Depression, Bipolar Disorder, Seizures, Psychosis, and Mania.
Anorexia/Feeding Problems
Minor:
sertraline
Sertraline has a minor potential interaction with Anorexia/Feeding Problems.
The use of selective serotonin reuptake inhibitors (SSRIs) may occasionally cause significant weight loss, which may be undesirable in patients suffering from anorexia, malnutrition or excessive weight loss. Anorexia may occur in approximately 5% to 10% of patients. Weight change should be monitored during therapy if an SSRI is used in these patients.
Bipolar Disorder
Moderate:
sertraline
Sertraline has a moderate potential interaction with Bipolar Disorder.
Selective serotonin reuptake inhibitors (SSRIs), like other antidepressants, may occasionally cause or activate mania or hypomania. The reported incidence ranged from 0.1% to 2% in premarketing testing of several SSRIs. Patients with bipolar disorder are generally more likely to experience mania from antidepressants. Therapy with SSRIs should be administered cautiously in patients with a history of mania or bipolar disorder. Prior to initiating treatment, it is recommended to adequately screen patients for bipolar disorder, including a family history of suicide, bipolar disorder, and depression.
Bleeding Disorder
Moderate:
sertraline
Sertraline has a moderate potential interaction with Bleeding Disorder.
The use of selective serotonin reuptake inhibitors (SSRIs) has been associated with altered platelet function. Petechiae, purpura, ecchymosis, increased bleeding times, epistaxis and gastrointestinal hemorrhage have been reported. Therapy with SSRIs should be administered cautiously in patients with severe active bleeding or a hemorrhagic diathesis.
Coagulation Defects and Disorders
Moderate:
caplacizumab
Caplacizumab has a moderate potential interaction with Coagulation Defects and Disorders.
Caplacizumab increases the risk of bleeding. This risk is increased in patients with underlying coagulopathies (e.g., hemophilia, other coagulation factor deficiencies). It is also increased with concomitant use of drugs affecting hemostasis and coagulation. Treatment with caplacizumab should be interrupted if clinically significant bleeding occurs. Caution and close monitoring is advised.
Moderate:
sertraline
Sertraline has a moderate potential interaction with Coagulation Defects and Disorders.
The use of selective serotonin reuptake inhibitors (SSRIs) has been associated with altered platelet function. Petechiae, purpura, ecchymosis, increased bleeding times, epistaxis and gastrointestinal hemorrhage have been reported. Therapy with SSRIs should be administered cautiously in patients with severe active bleeding or a hemorrhagic diathesis.
Dehydration
Moderate:
sertraline
Sertraline has a moderate potential interaction with Dehydration.
The use of selective serotonin reuptake inhibitors (SSRIs) has rarely been associated with hyponatremia, sometimes secondary to development of the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). These events have generally been reversible following discontinuation of SSRI therapy and/or medical intervention. SSRI-related hyponatremia may be more common in elderly female patients and those who are volume-depleted or receiving concomitant diuretic therapy. Caution may be warranted when SSRI therapy is administered in these patients and patients with preexisting hyponatremia or SIADH. Serum electrolytes, especially sodium as well as BUN and plasma creatinine, should be monitored regularly.
Depression
Major:
sertraline
Sertraline has a major potential interaction with Depression.
Adult and pediatric patients with depression and other psychiatric disorders may experience worsening of their symptoms and may have the emergence of suicidal thoughts and behavior. Patients should be monitored appropriately and observed closely for worsening of their symptoms, suicidality or changes in their behavior, especially during the first few months of treatment, and at times of dose changes. Families and caregivers should be advised of the need for close observation and communication with the treating physician. Discontinuing the medication should be considered if symptoms are persistently worse, or abrupt in onset. It may be prudent to refrain from dispensing large quantities of medication to these patients.
Moderate:
sertraline
Sertraline has a moderate potential interaction with Depression.
Selective serotonin reuptake inhibitors (SSRIs), like other antidepressants, may occasionally cause or activate mania or hypomania. The reported incidence ranged from 0.1% to 2% in premarketing testing of several SSRIs. Patients with bipolar disorder are generally more likely to experience mania from antidepressants. Therapy with SSRIs should be administered cautiously in patients with a history of mania or bipolar disorder. Prior to initiating treatment, it is recommended to adequately screen patients for bipolar disorder, including a family history of suicide, bipolar disorder, and depression.
Failure to Thrive
Minor:
sertraline
Sertraline has a minor potential interaction with Failure to Thrive.
The use of selective serotonin reuptake inhibitors (SSRIs) may occasionally cause significant weight loss, which may be undesirable in patients suffering from anorexia, malnutrition or excessive weight loss. Anorexia may occur in approximately 5% to 10% of patients. Weight change should be monitored during therapy if an SSRI is used in these patients.
Glaucoma, Narrow Angle
Moderate:
sertraline
Sertraline has a moderate potential interaction with Glaucoma, Narrow Angle.
Some SSRI antidepressants such as fluoxetine, paroxetine and sertraline may have an effect on pupil size causing dilation. This effect can potentially narrow the eye angle resulting in increased intraocular pressure and angle closure glaucoma, especially in predisposed patients. These drugs should be used with caution in patients with angle-closure glaucoma or history of glaucoma.
Hyponatremia
Moderate:
sertraline
Sertraline has a moderate potential interaction with Hyponatremia.
The use of selective serotonin reuptake inhibitors (SSRIs) has rarely been associated with hyponatremia, sometimes secondary to development of the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). These events have generally been reversible following discontinuation of SSRI therapy and/or medical intervention. SSRI-related hyponatremia may be more common in elderly female patients and those who are volume-depleted or receiving concomitant diuretic therapy. Caution may be warranted when SSRI therapy is administered in these patients and patients with preexisting hyponatremia or SIADH. Serum electrolytes, especially sodium as well as BUN and plasma creatinine, should be monitored regularly.
Moderate:
sertraline
Sertraline has a moderate potential interaction with Hyponatremia.
Treatment with SSRI antidepressants can cause hyponatremia. Caution should be used when treating patients with hyponatremia or at greater risk of hyponatremia such as the elderly, patients taking diuretics or who are volume depleted.
Liver Disease
Moderate:
caplacizumab
Caplacizumab has a moderate potential interaction with Liver Disease.
No formal studies with caplacizumab have been conducted in patients with severe acute or chronic hepatic impairment and no data regarding the use of the drug in these populations are available. Due to a potential increased risk of bleeding, the use of caplacizumab in patients with severe hepatic impairment requires close monitoring.
Moderate:
sertraline
Sertraline has a moderate potential interaction with Liver Disease.
Selective serotonin reuptake inhibitors (SSRIs) are primarily metabolized by the liver. The plasma concentrations of SSRIs and their metabolites may be increased and the half-lives prolonged in patients with impaired hepatic function. Dosage adjustments may be necessary in accordance with the individual product package labeling.
Malnourishment
Minor:
sertraline
Sertraline has a minor potential interaction with Malnourishment.
The use of selective serotonin reuptake inhibitors (SSRIs) may occasionally cause significant weight loss, which may be undesirable in patients suffering from anorexia, malnutrition or excessive weight loss. Anorexia may occur in approximately 5% to 10% of patients. Weight change should be monitored during therapy if an SSRI is used in these patients.
Mania
Moderate:
sertraline
Sertraline has a moderate potential interaction with Mania.
Selective serotonin reuptake inhibitors (SSRIs), like other antidepressants, may occasionally cause or activate mania or hypomania. The reported incidence ranged from 0.1% to 2% in premarketing testing of several SSRIs. Patients with bipolar disorder are generally more likely to experience mania from antidepressants. Therapy with SSRIs should be administered cautiously in patients with a history of mania or bipolar disorder. Prior to initiating treatment, it is recommended to adequately screen patients for bipolar disorder, including a family history of suicide, bipolar disorder, and depression.
Psychosis
Major:
sertraline
Sertraline has a major potential interaction with Psychosis.
Adult and pediatric patients with depression and other psychiatric disorders may experience worsening of their symptoms and may have the emergence of suicidal thoughts and behavior. Patients should be monitored appropriately and observed closely for worsening of their symptoms, suicidality or changes in their behavior, especially during the first few months of treatment, and at times of dose changes. Families and caregivers should be advised of the need for close observation and communication with the treating physician. Discontinuing the medication should be considered if symptoms are persistently worse, or abrupt in onset. It may be prudent to refrain from dispensing large quantities of medication to these patients.
Renal Dysfunction
Minor:
sertraline
Sertraline has a minor potential interaction with Renal Dysfunction.
Sertraline is primarily metabolized by the liver. Although renal excretion of unchanged drug appears to be a minor route of elimination, some metabolites are excreted in the urine to some extent. The clinical significance of possible metabolite accumulation is unknown. Caution may be warranted when sertraline therapy is administered in patients with severe renal dysfunction.
Seizures
Moderate:
sertraline
Sertraline has a moderate potential interaction with Seizures.
Selective serotonin reuptake inhibitors (SSRIs) may trigger seizures in approximately 0.2% of patients, and some of them are not recommended in patients with unstable epilepsy. Therapy with SSRIs should be administered cautiously in patients with seizure disorders.
SIADH
Moderate:
sertraline
Sertraline has a moderate potential interaction with SIADH.
The use of selective serotonin reuptake inhibitors (SSRIs) has rarely been associated with hyponatremia, sometimes secondary to development of the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). These events have generally been reversible following discontinuation of SSRI therapy and/or medical intervention. SSRI-related hyponatremia may be more common in elderly female patients and those who are volume-depleted or receiving concomitant diuretic therapy. Caution may be warranted when SSRI therapy is administered in these patients and patients with preexisting hyponatremia or SIADH. Serum electrolytes, especially sodium as well as BUN and plasma creatinine, should be monitored regularly.
Thrombocytopathy
Moderate:
sertraline
Sertraline has a moderate potential interaction with Thrombocytopathy.
The use of selective serotonin reuptake inhibitors (SSRIs) has been associated with altered platelet function. Petechiae, purpura, ecchymosis, increased bleeding times, epistaxis and gastrointestinal hemorrhage have been reported. Therapy with SSRIs should be administered cautiously in patients with severe active bleeding or a hemorrhagic diathesis.
Thrombocytopenia
Moderate:
sertraline
Sertraline has a moderate potential interaction with Thrombocytopenia.
The use of selective serotonin reuptake inhibitors (SSRIs) has been associated with altered platelet function. Petechiae, purpura, ecchymosis, increased bleeding times, epistaxis and gastrointestinal hemorrhage have been reported. Therapy with SSRIs should be administered cautiously in patients with severe active bleeding or a hemorrhagic diathesis.
Vitamin K Deficiency
Moderate:
sertraline
Sertraline has a moderate potential interaction with Vitamin K Deficiency.
The use of selective serotonin reuptake inhibitors (SSRIs) has been associated with altered platelet function. Petechiae, purpura, ecchymosis, increased bleeding times, epistaxis and gastrointestinal hemorrhage have been reported. Therapy with SSRIs should be administered cautiously in patients with severe active bleeding or a hemorrhagic diathesis.
More resources
caplacizumab
A total of 166 drugs are known to interact with caplacizumab.
- Caplacizumab is in the drug class platelet aggregation inhibitors.
- Caplacizumab is used to treat Thrombotic Thrombocytopenic Purpura.
sertraline
A total of 699 drugs are known to interact with sertraline.
- Sertraline is in the drug class selective serotonin reuptake inhibitors.
-
Sertraline is used to treat the following conditions:
- Anxiety and Stress (off-label)
- Bipolar Disorder (off-label)
- Body Dysmorphic Disorder (off-label)
- Borderline Personality Disorder (off-label)
- Depression
- Dissociative Identity Disorder (off-label)
- Dysautonomia (off-label)
- Generalized Anxiety Disorder (off-label)
- Major Depressive Disorder
- Obsessive Compulsive Disorder
- Panic Disorder
- Persistent Depressive Disorder (off-label)
- Post Traumatic Stress Disorder
- Postpartum Depression
- Premenstrual Dysphoric Disorder
- Social Anxiety Disorder
- Somatoform Pain Disorder (off-label)
- Transverse Myelitis (off-label)
- Trichotillomania (off-label)
- Vulvodynia (off-label)
Drug Interaction Classification
| Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
| Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
| 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. | |
| No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.