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Tinzaparin and Heparin

Posted over 2 years ago by David Chan (HIGH significance )

Affecting Drugs

B01AB10  Tinzaparin
B01AB04  Dalteparin
B01AB05  Enoxaparin

Effect

Augments

Affected Drug

B01AB01  Heparin

Details

Dalteparin may increase the risk of bleeding from heparin. The mechanism is additive inhibition of thrombin and factor Xa. If these agents must be used together, extreme caution is advised, and the patient should be monitored for signs of bleeding. Other low-molecular-weight heparins (LMWHs) may interact with heparin in a similar manner.

Evidence

Good

Reference

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