Coumadin Injection and Gefitinib Oral
Determining the interaction of Coumadin Injection and Gefitinib Oral 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:Using warfarin together with gefitinib 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:MONITOR: Coadministration with gefitinib has resulted in INR elevations and/or bleeding events in some patients taking warfarin. The mechanism of interaction has not been established, and it is not known whether other oral anticoagulants are similarly affected.
MANAGEMENT: Given the potential for interaction and the high degree of interpatient variability with respect to warfarin metabolism, patients should be closely monitored during concomitant therapy with gefitinib. The INR should be checked frequently and warfarin dosage adjusted accordingly, particularly following initiation or discontinuation of gefitinib in patients who are stabilized on their warfarin 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.
- "Product Information. Iressa (gefitinib)." Astra-Zeneca Pharmaceuticals, Wilmington, DE.
Generic Name: warfarin
Brand name: Coumadin, Jantoven
Synonyms: Coumadin
Generic Name: gefitinib
Brand name: Iressa
Synonyms: Gefitinib
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.
- Coumadin Injection-Gel-One
- Coumadin Injection-Gel-One injection
- Coumadin Injection-Gelato Topical Anesthetic
- Coumadin Injection-Gelato Topical Anesthetic Gel
- Coumadin Injection-Gelnique
- Coumadin Injection-Gelsyn-3 injection
- Gefitinib Oral-Covaryx
- Gefitinib Oral-Covaryx HS
- Gefitinib Oral-Covera-HS
- Gefitinib Oral-Cozaar
- Gefitinib Oral-CPB WC
- Gefitinib Oral-CPM-PSE DM Drops