Drug General Information (ID: DDIPL615J4)
  Drug Name Ardeparin Drug Info Sibutramine Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Anticoagulants Appetite Depressants
  Structure

 Mechanism of Ardeparin-Sibutramine Interaction (Severity Level: Moderate)
     Increased risk of bleeding Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Ardeparin Sibutramine
      Mechanism Risk of bleeding
Anticoagulant 
Risk of bleeding
Antiplatelet effects 
      Key Mechanism Factor 1
Factor Name Bleeding
Factor Description Patients may be at risk for bleeding when the outcome of a disease or disease treatment confounds the standard mechanisms for maintaining hemostasis. Signs or symptoms of abnormal bleeding include: bleeding that takes a long time to stop (including nosebleeds, bleeding gums, bleeding from cuts and abrasions, and menstrual bleeding); severe unexplained bruising, or bruising that becomes larger; blood in the urine or stool, etc.
      Mechanism Description
  • Increased risk of bleeding by the combination of Ardeparin and Sibutramine 

Recommended Action
      Management Caution is recommended if a serotonin reuptake inhibitor is administered with heparin therapy, especially in the elderly and patients with renal impairment. Patients should be advised to promptly report any signs of bleeding to their physician, including pain, swelling, headache, dizziness, weakness, prolonged bleeding from cuts, increased menstrual flow, vaginal bleeding, nosebleeds, bleeding of gums from brushing, unusual bleeding or bruising, red or brown urine, or red or black stools.

References
1 Pai VB, Kelly MW "Bruising associated with the use of fluoxetine." Ann Pharmacother 30 (1996): 786-8. [PMID: 8826562]
2 Product Information. Paxil (paroxetine). GlaxoSmithKline, Research Triangle Park, NC.
3 Product Information. Prozac (fluoxetine). Dista Products Company, Indianapolis, IN.