Posso prendere Apixaban e Sertralina insieme?

Dovresti prendere solo apixaban e sertralina together if your doctor has prescribed both and is monitoring you. Taking them together may increase the risk of bleeding.

Perché succede

Apixaban is an anticoagulant (blood thinner) that prevents clots. Sertraline is an SSRI antidepressant which, as a side effect, can reduce the ability of your platelets to stick together.

When both medicines work to 'thin' the blood in different ways, the risk of bleeding rises.

You may be experiencing an interaction between apixaban and sertraline if you notice:

• Blood in your pee (urine).

• Black tarry poo (stools).

• Tosse con sangue.

• Heavy nosebleeds.

• Forti mal di testa.

Seek medical advice immediately if you have any of these symptoms or have a fall or a head injury.

Disturbi depressivi e d'ansia

Potresti sperimentare un aumento dei pensieri suicidi o dell'impulso di autolesionarti all'inizio del trattamento con sertralina o quando cambi la dose. Questo è più comune nei giovani adulti sotto i 25 anni. Contatta immediatamente il tuo medico o vai in ospedale se noti cambiamenti nel tuo umore o nel tuo comportamento.

Aumento del rischio di sanguinamento

Taking these medicines together significantly increases your risk of serious internal bleeding. You must watch for signs like coughing up blood, vomit that looks like coffee grounds, or black, tarry stools.

Emergency surgery or injury

Because apixaban prevents blood clotting, you are at risk of life-threatening bleeding if you have a serious injury or need emergency surgery. You must carry an anticoagulant alert card at all times to inform medical staff.

Low blood sodium (hyponatraemia)

Sertraline can cause a dangerous drop in sodium levels, especially in the elderly. Seek medical help if you experience new confusion, muscle weakness, or seizures.

Alcol

It is best to avoid drinking alcohol while taking sertraline. Alcohol can increase the sedative effects of the medicine, making you feel more sleepy or unsteady on your feet. Additionally, alcohol can worsen the symptoms of depression or anxiety for which you are being treated.

It is best to avoid or strictly limit alcohol while taking apixaban. Alcohol can increase the risk of bleeding in your stomach and intestines. Additionally, alcohol can thin the blood, which may increase the risk of serious bleeding when combined with this medicine.

Succo di pompelmo

You should avoid drinking large amounts of grapefruit juice while taking sertraline. Grapefruit can increase the level of sertraline in your blood, which may increase the risk of side effects.

Caffeina (Caffè, Tè, Bevande Energetiche)

Sertraline can sometimes cause nervousness or tremors. Consuming high amounts of caffeine may worsen these side effects or increase feelings of anxiety. It is advisable to monitor your caffeine intake.

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Avvertenza

Queste informazioni sono solo a scopo educativo generale e non devono essere considerate un sostituto del consiglio medico professionale. Consultate sempre il vostro medico di base, farmacista o un altro professionista sanitario qualificato prima di prendere decisioni sui vostri farmaci. Le circostanze individuali possono variare, e solo un professionista sanitario che conosce la vostra storia medica può fornire una guida personalizzata.