Warfarin + Naproxen And Esomeprazole Magnesium Interaction

Majorinteraction on record

Description

Naproxen and warfarin have synergistic effect on bleeding with increased risk of serious bleeding. Esomeprazole increases INR and prothrombin time with warfarin, potentially leading to abnormal bleeding and death.

Mechanism

Synergistic effect on bleeding; PPI increases INR and prothrombin time

Source: NLP:naproxen and esomeprazole magnesium