Alka-Seltzer Morning Relief and Heparin Lock Flush Solution
Determining the interaction of Alka-Seltzer Morning Relief and Heparin Lock Flush Solution and the possibility of their joint administration.
In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.
Consumer:Ask your doctor before using aspirin together with heparin. This can cause you to bleed more easily. You may need a dose adjustment in addition to testing of your prothrombin time or International Normalized Ratio (INR). Call your doctor promptly if you have any unusual bleeding or bruising, vomiting, blood in your urine or stools, headache, dizziness, or 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.
Professional:GENERALLY AVOID: Theoretically, the coadministration of nonsteroidal anti-inflammatory drugs (NSAIDs) and heparin or low molecular weight heparin (LMWH) may potentiate the risk of bleeding. NSAIDs interfere with platelet adhesion and aggregation and may prolong bleeding time in healthy individuals. While these effects are generally slight and of relatively short duration for most NSAIDs (except aspirin) at recommended dosages, they may be of pronounced clinical significance when combined with the inhibitory effects of heparin on the clotting cascade. However, little clinical data exist regarding an actual interaction. In a controlled, randomized prospective study, 60 patients undergoing total hip replacement received enoxaparin (40 mg subcutaneously 12 hours pre- and every 24 hours postoperatively for 10 days) and analgesia with either ketorolac tromethamine (30 mg IM on induction of anesthesia and every 24 hours postoperatively for 4 days) or an opioid plus acetaminophen. The authors reported no significant differences between the two groups for intraoperative blood loss, postoperative drainage, transfusion requirements, bruising, wound oozing, and leg swelling. However, there have been anecdotal reports of hemorrhagic complications in surgical patients treated with NSAIDs alone and in combination with a LMWH. In addition, NSAIDs are known to cause dose-related gastrointestinal bleeding, which may be complicated by anticoagulant therapy.
MANAGEMENT: Until further data are available, products containing NSAIDs, especially if given chronically or in high dosages, should preferably be avoided in patients receiving heparin or LMWH. Close clinical and laboratory observation for bleeding complications is recommended if concurrent therapy is necessary.
- Weale AE, Warwick DJ, Durant N, Prothero D "Is there a clinical interaction between low molecular weight heparin and non-steroidal analgesics after total hip replacement?" Ann R Coll Surg Engl 77 (1995): 35-7
- Heiden D, Rodvien R, Mielke CH "Heparin bleeding, platelet dysfunction, and aspirin." JAMA 246 (1981): 330-1
- Price AJ, Frcpath DO "Is there a clinical interaction between low molecular weight heparin and non-steroidal analgesics after total hip replacement?" Ann R Coll Surg Engl 77 (1995): 395
- Theroux P, Ouimet H, McCans J, et al. "Aspirin, heparin, or both to treat acute unstable angina." N Engl J Med 319 (1988): 1105-6
- Walker AM "Predictors of bleeding during heparin therapy." JAMA 244 (1980): 1209-12
- Bang CJ, Riedel B, Talstad I, Berstad A "Interaction between heparin and acetylsalicylic acid on gastric mucosal and skin bleeding in humans." Scand J Gastroenterol 27 (1992): 489-94
Generic Name: aspirin / caffeine
Brand name: Alka-Seltzer Morning Relief, Anacin, Bayer Back & Body, BC Arthritis, Cope, P-A-C Analgesic, Stanback, Aspircaf, Genasan, Adult Strength, Midol Traditional, Anacin Extra Strength, BC, Back & Body Extra Strength, Bayer Back & Body Pain Extra Strength, CVS Back & Body, P-A-C, BC Fast Pain Relief
Synonyms: n.a.
Generic Name: heparin
Brand name: Hep-Pak, Heparin Lock flush, Hep-Pak CVC, Hep-Lock, Heparin Sodium ADD-Vantage, HepFlush
Synonyms: Heparin Injection, Heparin
In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.
- Alka-Seltzer Morning Relief-Heparin Sodium
- Alka-Seltzer Morning Relief-Heparin, Concentrate
- Alka-Seltzer Morning Relief-Hepatamine
- Alka-Seltzer Morning Relief-Hepatasol Injection
- Alka-Seltzer Morning Relief-Hepatitis A adult vaccine
- Alka-Seltzer Morning Relief-Hepatitis A and Hepatitis B Recombinant Vaccine
- Heparin Lock Flush Solution-Alka-Seltzer Plus Cold
- Heparin Lock Flush Solution-Alka-Seltzer Plus Cold and Sinus
- Heparin Lock Flush Solution-Alka-Seltzer Plus Cold Formula
- Heparin Lock Flush Solution-Alka-Seltzer Plus Cold Liquigel
- Heparin Lock Flush Solution-Alka-Seltzer Plus Flu Liquigels
- Heparin Lock Flush Solution-Alka-Seltzer Plus Flu/Body