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Dabigatran Etexilate and Kaletra Oral Solution

Determining the interaction of Dabigatran Etexilate and Kaletra Oral Solution and the possibility of their joint administration.

Check result:

Dabigatran Etexilate <> Kaletra Oral Solution

Relevance: 06.08.2023 Reviewer: Shkutko P.M., M.D., in

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:

Ritonavir may increase the blood levels and effects of dabigatran. Combining these medications may increase the risk of bleeding complications. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Call your doctor promptly if you experience paleness of skin, fatigue, dizziness, fainting, unusual bleeding or bruising, swelling, vomiting, blood in your urine or stools, headache, or weakness during treatment with these medications. 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 ritonavir may increase the plasma concentrations of dabigatran, particularly in patients with renal impairment. The mechanism is inhibition of P-glycoprotein (P-gp) by ritonavir. In a single-center, two-arm, single-sequence, open-label study, dabigatran etexilate (150 mg) and ritonavir (100 mg) were administered simultaneously and separately (2 hours apart). When administered together, thrombin time (TT) at 24 hours post-dose increased by 31% (p-value less than 0.05) while no significant changes in dabigatran pharmacokinetic parameters were observed. When dabigatran was given 2 hours before ritonavir, dabigatran AUC decreased by 29% (p-value less than 0.05) while no significant changes in TT were observed.

MANAGEMENT: Coadministration of dabigatran with ritonavir is not recommended in certain patients with renal impairment. If concomitant use is necessary, clinical and laboratory monitoring is recommended and the dabigatran dosage should be adjusted as necessary. Patients should be monitored closely for the development of bleeding complications.

References

"Product Information. Kaletra (lopinavir-ritonavir)" Abbott Pharmaceutical, Abbott Park, IL.
Cerner Multum, Inc. "Australian Product Information." O 0
"Product Information. Prezcobix (cobicistat-darunavir)." Janssen Pharmaceuticals, Titusville, NJ.
"Product Information. Prezista (darunavir)." Ortho Biotech Inc, Bridgewater, NJ.
Cerner Multum, Inc. "Canadian Product Information." O 0 (2015):
"Product Information. Viekira Pak (dasabuvir/ombitasvir/paritaprevir/ritonavir)." AbbVie US LLC, North Chicago, IL.
"Product Information. Symtuza (cobicistat/darunavir/emtricitabine/tenof)." Janssen Pharmaceuticals, Titusville, NJ.
"Product Information. Pradaxa (dabigatran)." Boehringer-Ingelheim, Ridgefield, CT.
"Product Information. Technivie (ombitasvir/paritaprevir/ritonavir)." AbbVie US LLC, North Chicago, IL.
"Product Information. Norvir (ritonavir)." Abbott Pharmaceutical, Abbott Park, IL.
Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
Kumar P, Gordon LA, et. al "Differential influence of the antiretroviral pharmacokinetic enhancers ritonavir and cobicistat on intestinal p-glycoprotein transport and the pharmacokinetic/pharmacodynamics disposition of dabigatran. Available from: URL: https://www.ncbi.nlm.nih.gov/pm" Antimicrob Agents Chemother 61 (2017): 1-12

Dabigatran Etexilate

Generic Name: dabigatran

Brand name: Pradaxa

Synonyms: Dabigatran

What is Dabigatran Etexilate?

Kaletra Oral Solution

Generic Name: lopinavir / ritonavir

Brand name: Kaletra

Synonyms: Kaletra

What is Kaletra Oral Solution?

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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.

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