Compatibility «Azithromycin» and «Warfarin»

• Interactions Azithromycin with Warfarin

  • Dangerous interactions
    • ⓘ Exogenous factors: potentially possible interaction of warfarin and drugs of the following classes and groups: 5-lipoxygenase inhibitors, adrenostimulants, drugs of central action to reduce alcohol abuse, analgesics, inhaled anesthetics, antiandrogens, antiarrhythmic drugs, antibiotics¹ (oral aminoglycosides, parenteral cephalosporins, macrolides, IV high-dose penicillins, macrolides, tetracyclines), quinolone antibacterial drugs, long-acting sulfonamides, anticoagulants, anticonvulsants¹, antidepressants¹, intravaginal and systemic antifungal drugs¹, antimalarial drugs, antitumor drugs¹, antiparasitic and antimicrobial drugs¹, platelet aggregation inhibitors, antiteroid drugs¹, beta-blockers, cholelitolytic drugs, antidiabetic drugs, oral diuretics¹, drugs that regulate the acidity of gastric juice and anti-ulcer drugs¹, prokinetics, drugs for the treatment of gout, hemorheological drugs, drugs for the treatment of ulcerative colitis, hepatotoxic drugs, hyperglycemic drugs, emergency medications for hypertension, hypnotic drugs¹, leukotriene receptor antagonists, lipid-lowering drugs (fibrates, HMG-CoA reductase inhibitors, bile acid sequestrants)¹, MAO inhibitors, long-acting narcotic drugs, drugs of natural origin, NSAIDs (non-selective COX-2 inhibitors), psychostimulants, pyrazolones, salicylates, SSRIs, adrenocorticosteroids, anabolic steroids (derivatives of 17-alkyltestosterone), thrombolytics, thyroid agents, anti-tuberculosis drugs, uricosuric drugs, vaccines, vitamins¹.
  • Negative interactions
    • ⓘ If necessary, co-administration with warfarin is recommended to carry out careful monitoring of PV (it is possible to increase PV and the frequency of hemorrhages).
    • ⓘ PV should be carefully monitored if patients receive azithromycin and oral anticoagulants at the same time.
    • ⓘ Examples of drugs with the potential to interact with warfarin are: tissue plasminogen activator, allopurinol, aminosalicylic acid, amiodarone, amoxicillin, argatroban, acetylsalicylic acid, azithromycin, bezafibrate, benzbromarone, benzylpenicillin (IV), benziodarone, bivalirudin, influenza virus vaccine, valproate, vitamin E, voriconazole, gatifloxacin, gefitinib, gemfibrozil, glucagon, glucosamine, halothane, heparin, danazol, danshen (Chinese herb), desirudin, dextran, dextrothyroxine, diazoxide, diclofenac, dicumarol, diflunizal, disulfiram, doxycycline, zafirlukast, ibuprofen, ifosfamide, indomethacin, itraconazole, capecitabine, carboplatin, ketoprofen, ketorolac, clarithromycin, clofibrate, co-trimaxosol, colestyramine¹, lansoprazole, leflunomide, lepirudine, levamisole, levofloxacin, levothyroxine, liothyronine , lovastatin, medroxyprogesterone, mephenamic acid, megestrol, memantine, methandienone, methimazole¹, methyldopa, methylprednisolone, methylphenidate, methyl salicylate (topical ointment), metronidazole, miconazole (intravaginal, oral, systemic¹), moricizine¹, moxifloxacin, nalidixic acid, naproxen, neomycin, norfloxacin, noscapine, ofloxacin, olsalazine, omeprazole, orlistat, oxandrolone, oxaprosine, oxolamine, oxymetholone, paclitaxel, pantoprazole, paracetamol, paroxetine, pentoxifylline, piperacillin, piroxicam, prasugrel, pravastatin, prednisolone ¹, propafenone, propoxyphene, propranolol, propylthiouracil¹, rabeprazole, ranitidine¹, rofecoxib, roxithromycin, sertraline, simvastatin, stanozolol, streptokinase, sulfamethisole, sulfamethoxazole, sulfinpyrazone, sulfisoxazole, sulindac, tamoxifen, tegafur, telithromycin, tetracycline, thyroid, ticarcillin, thienylic acid, ticlopidine, tolbutamide, tolterodine, toremifene, tramadol, urokinase, phenylbutazone, phenytoin¹, fenoprofen, fenofibrate, fluvastatin, fluvoxamine, fluoxetine, fluconazole, flutamide, fluorouracil, henodiol, quinidine, quinine, chloramphenicol, chloral hydrate¹, chlorpropamide, cefaclor, cefamandole, cefazolin, cefixime, cefonicide, cefoperazone, cefotetan, cefotiam, cefoxitin, ceftriaxone, cefuroxime, celecoxib, cyclophosphamide¹, cimetidine, ciprofibrate, ciprofloxacin, cisapride, citalopram, econazole, erythromycin, escitalopram, esomeprazole, ethacric acid, ezetimibe, as well as other drugs that affect the constituent components of the blood, which can change hemostasis, nutrient deficiency, prolonged hot weather, unreliable results for determining PV.
  • Positive interactions
    • ⓘ Although in a study involving 22 healthy men, a 5-day course of azithromycin did not affect PV when subsequently administered a dose of warfarin, spontaneous post-marketing reports suggest that simultaneous administration of azithromycin may potentiate the effects of oral anticoagulants.
  • Unclear interactions
    • ⓘ Warfarin.

Decoding the colors of interactions and contraindications

Dangerous	—	a pronounced negative interaction or contraindication.
Negative	—	negative interaction or side effect that may reduce effectiveness.
Positive	—	the interaction can SOMETIMES be used as a positive (often a dose adjustment is needed), or it is an indication of the drug.
No	—	the drugs do NOT interact, which is separately indicated in the instructions.
Unclear	—	the system failed to pre-assess the danger.

Video instruction

▶

Look at ▶Youtube

Additional information

• Kiberis checks interactions and evaluates drug compatibility for free online right in the instructions thanks to the latest artificial intelligence technologies. The accuracy of finding is more than 95%, the accuracy of the hazard assessment is more than 80%. The online medical service takes into account all the drug groups of the selected drugs and all their components. And since the database contains 25,000 drugs with detailed instructions, not every pharmacologist can compete with our artificial intelligence. List of popular interactions.
• Why do I need to
  • Avoid dangerous prescriptions for your patients.
  • Check the contraindications.
  • Evaluate the safety of therapy in the treatment of children.
  • See the compatibility of drugs with alcohol (enter it as a drug).
  • Point the doctor to the found interaction - you may need to adjust the therapy.
  • Do you need an API for interactions/drug analogues for your project? Write to us.
• The use of information about interactions is only possible as an introduction. This information should not be used to adjust therapy without consulting a specialist.
• The article is written: artificial intelligence Kiberis
• Sources: official instructions for medicines and their active substances, as well as inter-group interactions described in medical studies and textbooks.
• Total analyzed: 169,994,378 possible combinations of drugs and their components were found 412,530 interacting combinations.
• Medicine section: Standard evidence-based medicine
• The date of the last update of the interaction database: 2024-12-19

Category - medicine