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DDAVP and Samsca

Determining the interaction of DDAVP and Samsca and the possibility of their joint administration.

Check result:
DDAVP <> Samsca
Relevance: 14.09.2022 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:

If you are using desmopressin to prevent or control bleeding associated with hemophilia or von Willebrand's disease, you should talk to your doctor before receiving tolvaptan. Combining these medications may reduce the effectiveness of desmopressin in some patients. Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring by your doctor to safely use both 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:

GENERALLY AVOID: Tolvaptan may antagonize the pharmacologic effects of desmopressin in the prevention or control of bleeding in patients with hemophilia or von Willebrand's disease. The mechanism is interference with vascular vasopressin V2-receptors that are involved in coagulation factor release from endothelial cells, such as von Willebrand factor. In one report, intravenous infusion of dDAVP two hours after administration of oral tolvaptan did not produce the expected increases in vW factor antigen or factor VIII activity in a male subject with mild von Willebrand's disease.

MANAGEMENT: Concomitant use of tolvaptan with a V2-receptor agonist such as desmopressin is not recommended.

References
  • EMEA. European Medicines Agency "EPARs. European Union Public Assessment Reports. Available from: URL: http://www.ema.europa.eu/ema/index.jsp?curl=pages/includes/medicines/medicines_landingpage.jsp&mid."
  • Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
  • "Product Information. Samsca (tolvaptan)." Otsuka American Pharmaceuticals Inc, Rockville, MD.
DDAVP

Generic Name: desmopressin

Brand name: DDAVP, Nocdurna, DDAVP nasal, DDAVP Rhinal Tube, Noctiva, Stimate

Synonyms: DDAVP (injection)

Samsca

Generic Name: tolvaptan

Brand name: Samsca, Jynarque

Synonyms: n.a.

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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Disease interaction