Detailed Information on Products That Interfere With Enoxaparin

Other Medications That "Thin" the Blood
Other medications that have anticoagulant, antiplatelet, or thrombolytic effects may increase the risk of bleeding with enoxaparin. Always check with your healthcare provider before combining enoxaparin with any such medications. Sometimes, these medications (especially thrombolytics, aspirin, or warfarin) are combined with enoxaparin intentionally.
 

Additional Information and Notable Exceptions

Enoxaparin does not interact with vitamin K or foods rich in vitamin K. People often mistakenly assume that it does, because warfarin (Coumadin®, Jantoven®), an oral anticoagulant, interacts with vitamin K. Of course, you must still follow the usual dietary restrictions if you are taking warfarin and enoxaparin together. However, if you are taking just enoxaparin, there are no dietary restrictions.
 
Enoxaparin does not interact with acetaminophen (Tylenol®). Therefore, acetaminophen is usually the preferred over-the-counter (OTC) pain or fever medication for people taking enoxaparin.
 
It should be noted that herbal medications might interact unpredictably with enoxaparin, perhaps increasing the risk of bleeding or perhaps making enoxaparin less effective. Therefore, check with your healthcare provider before combining any herbal medication with enoxaparin.
 

Final Thoughts

It is possible that not all drug interactions with enoxaparin were discussed in this article. Therefore, you should talk with your pharmacist or healthcare provider about any specific interactions that may apply to you.
 
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