Warfarin + Duloxetine Interaction

Moderateinteraction on record

Description

Monitor carefully when initiating or discontinuing duloxetine. Altered anticoagulant effects and increased bleeding reported with SNRIs; however, duloxetine did not significantly affect INR or warfarin pharmacokinetics in clinical study.

Mechanism

Platelet dysfunction and potential serotonergic effects on hemostasis

Source: NLP:duloxetine