Can you take Mirikizumab with Prasugrel?
1 drug interaction and 10 additional warnings found for the following 2 drugs:
- mirikizumab
- prasugrel
Drug interactions
Moderate drug interactions
Moderate:
prasugrel mirikizumab
Applies to: prasugrel and mirikizumab
Mirikizumab may alter the blood levels and effects of prasugrel.
Your doctor may need to monitor you more closely and/or adjust the dosing of your medication(s).
For example, a dose adjustment may be needed if you have been receiving prasugrel and are starting treatment with mirikizumab. Likewise, if you have been receiving both medications, the dose of prasugrel may need to be adjusted when mirikizumab is discontinued.
Contact your doctor if your condition changes or you experience increased side effects.
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
No alcohol/food interactions were found. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
Disease interactions
10 potential interactions Applies to: 9 conditions, including Liver Disease, Cirrhosis, Infection, Bleeding Disorder, and Tuberculosis, Active.
Bleeding Disorder
Major:
prasugrel
Prasugrel has a major potential interaction with Bleeding Disorder.
Prasugrel is contraindicated in patients with active pathological bleeding such as peptic ulcer or intracranial hemorrhage, as this agent increases the risk of fatal bleeding.
Cerebrovascular Insufficiency
Major:
prasugrel
Prasugrel has a major potential interaction with Cerebrovascular Insufficiency.
Prasugrel is contraindicated in patients with a history of prior transient ischemic attack (TIA) or stroke. Patients who experience a stroke or TIA while on prasugrel generally should have therapy discontinued. The risk of bleeding is increased in patients receiving prasugrel who undergo coronary artery bypass graft. If possible, prasugrel should be discontinued at least 7 days prior to the procedure.
Cirrhosis
Moderate:
mirikizumab
Mirikizumab has a moderate potential interaction with Cirrhosis.
Mirikizumab can cause increased levels of liver enzymes and bilirubin. The effect of moderate to severe hepatic impairment on the pharmacokinetics of mirikizumab has not been evaluated. Other treatment options should be considered in patients with evidence of liver cirrhosis.
Infection
Moderate:
mirikizumab
Mirikizumab has a moderate potential interaction with Infection.
Mirikizumab may increase the risk of infection. Patients should be evaluated for active infection before and during treatment with mirikizumab, and administration should be avoided if infection is detected.
Ischemic Heart Disease
Major:
prasugrel
Prasugrel has a major potential interaction with Ischemic Heart Disease.
Prasugrel is contraindicated in patients with a history of prior transient ischemic attack (TIA) or stroke. Patients who experience a stroke or TIA while on prasugrel generally should have therapy discontinued. The risk of bleeding is increased in patients receiving prasugrel who undergo coronary artery bypass graft. If possible, prasugrel should be discontinued at least 7 days prior to the procedure.
Liver Disease
Moderate:
mirikizumab
Mirikizumab has a moderate potential interaction with Liver Disease.
Mirikizumab can cause increased levels of liver enzymes and bilirubin. The effect of moderate to severe hepatic impairment on the pharmacokinetics of mirikizumab has not been evaluated. Other treatment options should be considered in patients with evidence of liver cirrhosis.
Moderate:
prasugrel
Prasugrel has a moderate potential interaction with Liver Disease.
No dosage adjustment is necessary for patients with renal impairment. No dosage adjustment is necessary in patients with mild to moderate hepatic impairment. Caution should be exercised in patients with end-stage renal disease and those with severe hepatic disease as such patients are generally at higher risk of bleeding.
Renal Dysfunction
Moderate:
prasugrel
Prasugrel has a moderate potential interaction with Renal Dysfunction.
No dosage adjustment is necessary for patients with renal impairment. No dosage adjustment is necessary in patients with mild to moderate hepatic impairment. Caution should be exercised in patients with end-stage renal disease and those with severe hepatic disease as such patients are generally at higher risk of bleeding.
Tuberculosis, Active
Moderate:
mirikizumab
Mirikizumab has a moderate potential interaction with Tuberculosis, Active.
Patients treated with mirikizumab may be at increased risk for tuberculosis. Patients should be evaluated for TB before treatment with mirikizumab and therapy should be avoided in patients with active TB. Anti-TB therapy should be considered for patients with a history of latent or active TB.
Tuberculosis, Latent
Moderate:
mirikizumab
Mirikizumab has a moderate potential interaction with Tuberculosis, Latent.
Patients treated with mirikizumab may be at increased risk for tuberculosis. Patients should be evaluated for TB before treatment with mirikizumab and therapy should be avoided in patients with active TB. Anti-TB therapy should be considered for patients with a history of latent or active TB.
More resources
mirikizumab
A total of 361 drugs are known to interact with mirikizumab.
- Mirikizumab is in the drug class interleukin inhibitors.
- Mirikizumab is used to treat the following conditions:
prasugrel
A total of 234 drugs are known to interact with prasugrel.
- Prasugrel is in the drug class platelet aggregation inhibitors.
- Prasugrel is used to treat the following conditions:
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.