Interactions
Drug-Drug
Concurrent abciximab , eptifibatide , tirofiban , aspirin , NSAIDs , heparin , LMWHs , thrombolytic agents , ticlopidine , or warfarin may ↑ risk of bleeding.
May ↓ metabolism and ↑ effects of phenytoin , tolbutamide , tamoxifen , torsemide , fluvastatin , and many NSAIDs .
Concurrent use of strong or moderate CYP2C19 inhibitors (e.g. omeprazole , esomeprazole , cimetidine , fluconazole , ketoconazole , voriconazole , etravirine , felbamate , fluoxetine , or fluvoxamine ) may ↓ antiplatelet effects (concurrent use should be avoided).
Drug-Natural Products ↑ bleeding risk with
anise ,
arnica ,
chamomile , clove , fenugreek ,
feverfew ,
garlic ,
ginger ,
ginkgo , Panax ginseng , and others.