Anticoagulants, ACE Inhibitors

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Anticoagulants

Drugs Drug-Drug Interaction Effects Drug-Food Interaction Effects

Apixaban Abiraterone Decreased metabolism of Grapefruit, Herbs and Increase the risk of bleeding.
Apixaban. supplements with
anticoagulant activity (garlic,
ginger, ginkgo biloba), St.
John’s Wort.
Dabigatran Acetylsalicylic acid Increased anticoagulant Herbs and supplements with Increase the risk of bleeding.
activities of Dabigatran. anticoagulant activity (garlic,
ginger, bilberry).
Edoxaban Benmoxin Severity of bleeding and Herbs and supplements with Increase the risk of bleeding.
haemorrhage. anticoagulant activity (garlic,
ginger, bilberry).
Rivaroxaban Cangrelor Increased anticoagulant St, John’s Wort, and Herbs Decreased level of the
activities of Rivaroxaban. and supplements with medication, and increases the
anticoagulant activity (garlic, risk of bleeding.
ginger, bilberry).
Warfarin Aspirin Excessive blood thinning that Too much consumption of It makes warfarin less
may lead to serious bleeding. green, leafy vegetables that effective.
are rich in vitamin K (lettuce,
spinach, broccoli)

ACE Inhibitors

Drugs Drug-Drug Interaction Effects Drug-Food Interaction Effects

Benazepril Acemetacin Increased risk of renal failure, Potassium-containing Increase the risk of
hyperkalemia, and products hyperkalemia
hypertension.
Captopril Digoxin Decreased clearance of Moderately high or high High levels of potassium in
digoxin from plasma in potassium dietary intake the blood.
patients with heart failure. (bananas,
Enalapril Acipimox Increased risk of myopathy, Hypertensive herbs (bayberry, Additive hypertensive effects
rhabdomyolysis, and cayenne), and Potassium- may occur, and the risk of
myoglobinuria. containing products. hyperkalemia is increased.
Fosinopril Acyclovir Acyclovir may decrease the Hypertensive herbs (bayberry, May attenuate
excretion rate of Fosinopril, cayenne), potassium- antihypertensive effect and
resulting in higher serum containing products, and salty the risk of hyperkalemia is
level. foods. increased.
Lisinopril Acetylsalicylic acid Decreased effect of Hypertensive herbs (bayberry, May attenuate
Lisinopril. cayenne), potassium- antihypertensive effect and
containing products, and salty the risk of hyperkalemia is
foods. increased.
Moexipril Acebutolol Risk of QTc prolongation can Hypertensive herbs (bayberry, May attenuate
be increased. cayenne), potassium- antihypertensive effect and
containing products, and salty the risk of hyperkalemia is
foods. increased.
Perindopril Acetazolamide Increase the excretion rate of Hypertensive herbs (bayberry, May attenuate
Perindopril which could result cayenne), potassium- antihypertensive effect and
in lower serum level and a containing products, and salty the risk of hyperkalemia is
reduction in efficacy. foods. increased.
Quinapril Aldesleukin Severity of adverse effects Fatty foods, hypertensive Risk of hyperkalemia, and
can be increased. herbs, potassium-containing may attenuate the
products, and salty foods. antihypertensive effect.
Ramipril Alfentanil Decreased antihypertensive Potassium-containing Increased risk of
activities of Ramipril. products. hyperkalemia.

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