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Can I take Apixaban and Levomepromazine together?

Guía de interacción de medicamentos

Taking apixaban and levomepromazine together may increase your risk of bleeding. Levomepromazine can sometimes cause a drop in the number of platelets in your blood (the cells that help your blood clot). When combined with a blood thinner like apixaban, this makes it easier for you to bruise or bleed. Additionally, levomepromazine can cause side effects like dizziness or fainting when you stand up, which increases the risk of falls and subsequent injury while on a blood thinner.

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Por qué sucede esto

Levomepromazine can occasionally cause blood disorders (such as thrombocytopenia) which reduce the body's ability to form clots. This adds to the blood-thinning effect of apixaban (a pharmacodynamic interaction). There is also a risk of 'orthostatic hypotension' (dizzy spells) from the levomepromazine, which increases the risk of trauma.

You should use this combination with caution. Speak to your doctor before taking these together. If you are prescribed both, watch closely for signs of unusual bleeding, such as bleeding gums, nosebleeds, dark/tarry stools, or bruising that appears for no reason. Seek medical help immediately if you have a serious fall or hit your head.

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Cirugía o procedimientos dentales

You must inform your surgeon or dentist that you are taking apixaban before any procedure, as it may need to be stopped temporarily to prevent dangerous bleeding.

Demencia en pacientes ancianos

Levomepromazine carries an increased risk of stroke and death when used to treat behavioural problems in elderly patients with dementia.

Risk of falls

Levomepromazine can cause significant drowsiness and dizziness, which greatly increases the risk of falling; because apixaban thins your blood, a fall is much more likely to result in serious internal bleeding or a head injury.

Alcohol

Drinking alcohol while taking levomepromazine can make you feel very sleepy and increase the risk of side effects like dizziness or fainting. It is best to avoid alcohol altogether while on this medication.

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Taking multiple medicines? Our Verificador de Interacciones de Medicamentos helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Descargo de responsabilidad

Esta información es solo para fines educativos generales y no debe considerarse como un sustituto del consejo médico profesional. Siempre consulte a su médico de cabecera, farmacéutico u otro profesional de la salud calificado antes de tomar decisiones sobre sus medicamentos. Las circunstancias individuales pueden variar, y solo un profesional de la salud que conozca su historial médico puede proporcionar orientación personalizada.

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Historial del artículo

La información en esta página está escrita y revisada por pares por clínicos calificados.

  • 25 Ene 2026 | Publicado originalmente
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