Cautions with other medicines
Some medicines can affect how dabigatran works. This can lead to serious side effects.
Tell your doctor if you're taking any of these medicines before you start taking dabigatran:
- any other anticoagulant, such as warfarin or enoxaparin
- any other medicines that affect blood clotting, such as clopidogrel, ticagrelor or prasugrel
- medicines to treat heart problems, such as verapamil, amiodarone or dronedarone
- medicines to treat fungal or bacterial infections, such as fluconazole, ketoconazole or clarithromycin
- medicines to treat depression, such as fluoxetine, sertraline or citalopram
- medicines to treat HIV, such as ritonavir
- medicines to treat epilepsy, such as carbamazepine or phenytoin
- non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin
Taking dabigatran with everyday painkillers
You can take paracetamol while you're taking dabigatran.
Do not take aspirin or ibuprofen while you're taking dabigatran unless a doctor has said it's OK. They increase the chance of bleeding.
Mixing dabigatran with herbal remedies and supplements
Do not take St John's wort, the herbal remedy for depression, while you're taking dabigatran. It can increase your risk of side effects.
There's not enough information to say that other herbal remedies and supplements are safe to take with dabigatran. They're not tested in the same way as pharmacy and prescription medicines.
Important: Medicine safety
Tell your doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements.