Verstraete M
Sem Hop. 1978 May;54(13-16):505-8.
The problem of drug interactions during prolonged use of coumarin anticoagulants is important for most patients receiving anticoagulants take several other drugs. Frequent interaction causes either potentialisation of the anticoagulant effect with risk of hemorrhage or inhibition of the anticoagulant effect with risk of thrombosis. The various mechanisms which may explain most interactions are reviewed and the authors propose a list of drugs which should not be administered with coumarin.
对于大多数正在接受抗凝治疗的患者而言,长期使用香豆素类抗凝剂时的药物相互作用问题至关重要,因为这些患者通常还服用其他几种药物。频繁的相互作用要么会增强抗凝效果而带来出血风险,要么会抑制抗凝效果而带来血栓形成风险。本文综述了可能解释大多数相互作用的各种机制,作者还列出了不应与香豆素类药物同时使用的药物清单。