Drug-drug interactions with metronidazole and itraconazole in patients using acenocoumarol.
Matthijs L BeckerRenate C A E van UdenThijs J GiezenKarina MeijerIlse HoutenbosPatricia Maria Lucia Adriana van den BemtPublished in: European journal of clinical pharmacology (2020)
Co-trimoxazole, metronidazole, and itraconazole increase the risk of overanticoagulation in patients using acenocoumarol. These combinations should be avoided if possible or otherwise acenocoumarol doses should be reduced and INR measured more frequently.