Enhanced Interaction between Warfarin and High-Dose Ketoconazole: A Case Report
This case describes the increased anticoagulation effect associated with the use of high-dose ketoconazole. A 59-year-old man treated with warfarin for aortic valve replacement was prescribed high-dose ketoconazole and hydrocortisone for the treatment of prostate cancer. Despite lowering the warfa...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2009/315687 |
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| author | Cynthia A. Jackevicius Mannhu N. Ton |
| author_facet | Cynthia A. Jackevicius Mannhu N. Ton |
| author_sort | Cynthia A. Jackevicius |
| collection | DOAJ |
| description | This case describes the increased anticoagulation effect associated with the use of high-dose ketoconazole. A 59-year-old man treated with warfarin for aortic valve replacement was prescribed high-dose ketoconazole and hydrocortisone for the treatment of prostate cancer. Despite lowering the warfarin dosage by 35% during the start of high dose ketoconazole, an additional dose reduction was required subsequently when the INR rose from 2.62 to 3.82 within nine days. After a total dose reduction of 43%, the INR returned to therapeutic range within two weeks. The Naranjo probability scale revealed a probable adverse reaction of increased anticoagulant effect associated with high dose ketoconazole. Due to the inhibition of warfarin metabolism by ketoconazole, patients taking high dose ketoconazole concomitantly with warfarin may need their warfarin dosage reduced by more than is currently recommended, as well as receive more frequent INR monitoring to avoid over anticoagulation. |
| format | Article |
| id | doaj-art-79d0e6f1857b425db74dd02e3f85dc92 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-79d0e6f1857b425db74dd02e3f85dc922025-02-03T05:43:37ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/315687315687Enhanced Interaction between Warfarin and High-Dose Ketoconazole: A Case ReportCynthia A. Jackevicius0Mannhu N. Ton1Department of Pharmacy Practice and Administration, College of Pharmacy, Western University of Health Sciences, CA 91766-1854, USADepartment of Pharmacy Practice and Administration, College of Pharmacy, Western University of Health Sciences, CA 91766-1854, USAThis case describes the increased anticoagulation effect associated with the use of high-dose ketoconazole. A 59-year-old man treated with warfarin for aortic valve replacement was prescribed high-dose ketoconazole and hydrocortisone for the treatment of prostate cancer. Despite lowering the warfarin dosage by 35% during the start of high dose ketoconazole, an additional dose reduction was required subsequently when the INR rose from 2.62 to 3.82 within nine days. After a total dose reduction of 43%, the INR returned to therapeutic range within two weeks. The Naranjo probability scale revealed a probable adverse reaction of increased anticoagulant effect associated with high dose ketoconazole. Due to the inhibition of warfarin metabolism by ketoconazole, patients taking high dose ketoconazole concomitantly with warfarin may need their warfarin dosage reduced by more than is currently recommended, as well as receive more frequent INR monitoring to avoid over anticoagulation.http://dx.doi.org/10.1155/2009/315687 |
| spellingShingle | Cynthia A. Jackevicius Mannhu N. Ton Enhanced Interaction between Warfarin and High-Dose Ketoconazole: A Case Report Case Reports in Medicine |
| title | Enhanced Interaction between Warfarin and High-Dose Ketoconazole: A Case Report |
| title_full | Enhanced Interaction between Warfarin and High-Dose Ketoconazole: A Case Report |
| title_fullStr | Enhanced Interaction between Warfarin and High-Dose Ketoconazole: A Case Report |
| title_full_unstemmed | Enhanced Interaction between Warfarin and High-Dose Ketoconazole: A Case Report |
| title_short | Enhanced Interaction between Warfarin and High-Dose Ketoconazole: A Case Report |
| title_sort | enhanced interaction between warfarin and high dose ketoconazole a case report |
| url | http://dx.doi.org/10.1155/2009/315687 |
| work_keys_str_mv | AT cynthiaajackevicius enhancedinteractionbetweenwarfarinandhighdoseketoconazoleacasereport AT mannhunton enhancedinteractionbetweenwarfarinandhighdoseketoconazoleacasereport |