Eptifibatide and Heparin interaction

Eptifibatide and Heparin: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Heparin (Heparin Sodium) label · effective 2026-05-12

Moderate

Platelet Inhibitors Drugs such as acetylsalicylic acid, dextran, phenylbutazone, ibuprofen, indomethacin, dipyridamole, hydroxychloroquine and others that interfere with platelet-aggregation reactions (the main hemostatic defense of heparinized patients) may induce bleeding and should be used with caution in patients receiving heparin sodium.

Drug interactionsby drug classView label on DailyMed

From the Eptifibatide label · effective 2026-02-09

Moderate

If heparin is given concomitantly, monitor aPTT or ACT.

Warnings and precautionsnames HeparinView label on DailyMed
Moderate

In patients treated with heparin, bleeding can be minimized by close monitoring of the aPTT and ACT [see Dosage and Administration ( 2 )] .

Warnings and precautionsnames HeparinView label on DailyMed
Moderate

If bleeding at access site cannot be controlled with pressure, infusion of eptifibatide injection and heparin should be discontinued immediately.

Warnings and precautionsnames HeparinView label on DailyMed
Moderate

In the event of acute profound thrombocytopenia or a confirmed platelet decrease to <100,000/mm 3 , discontinue eptifibatide injection and heparin (unfractionated or low-molecular weight).

Warnings and precautionsnames HeparinView label on DailyMed
Moderate

Coadministration of antiplatelet agents, thrombolytics, heparin, aspirin, and chronic NSAID use increases the risk of bleeding.

Drug interactionsnames HeparinView 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.