Drug General Information (ID: DDIUSVPI5C)
  Drug Name Eptifibatide Drug Info Choline salicylate Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Anticoagulants Salicylates
  Structure

 Mechanism of Eptifibatide-Choline salicylate Interaction (Severity Level: Moderate)
     Increased risk of bleeding Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Eptifibatide Choline salicylate
      Mechanism Risk of bleeding
Antiplatelet 
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 Eptifibatide and Choline salicylate 

Recommended Action
      Management It is recommended that these drugs be used together only when indicated by skilled personnel who are qualified and equipped to detect and treat bleeding complications. Patients should be closely monitored for signs of bleeding, especially at arterial puncture sites. Therapy should be discontinued immediately if serious or uncontrollable bleeding or thrombocytopenia occurs.

References
1 Hirsch J, Dalen J, Guyatt G, American College of Chest Physicians "The sixth (2000) ACCP guidelines for antithrombotic therapy for prevention and treatment of thrombosis. American College of Physicians." Chest 119(1 Suppl) (2001): 1S-2S. [PMID: 11157638]
2 Klinkhardt U, Kirchmaier CM, Westrup D, Graff J, Mahnel R, Breddin HK, Harder S "Ex vivo-in vitro interaction between aspirin, clopidogrel, and the glycoprotein IIb/IIIa inhibitors abciximab and SR121566A." Clin Pharmacol Ther 67 (2000): 305-13. [PMID: 10741635]
3 Product Information. Integrilin (eptifibatide). Schering Laboratories, Kenilworth, NJ.
4 Product Information. ReoPro (abciximab). Lilly, Eli and Company, Indianapolis, IN.