Cangrelor and Prasugrel interaction

Cangrelor and Prasugrel: the Cangrelor prescribing label flags this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Cangrelor (KENGREAL) label · effective 2025-10-21

Major

Prasugrel: Do not administer during KENGREAL infusion.

Drug interactionsnames PrasugrelView label on DailyMed
Moderate

Thienopyridines Clopidogrel or prasugrel administered during KENGREAL infusion will have no antiplatelet effect until the next dose is administered.

Drug interactionsnames PrasugrelView label on DailyMed
Moderate

Therefore, administer clopidogrel or prasugrel after KENGREAL infusion is discontinued [see Dosage and Administration ( 2.2 ) and Clinical Pharmacology ( 12.3 )].

Drug interactionsnames PrasugrelView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.