Which medication increases the risk of bleeding when taken concurrently with other anticoagulants?

Which medication increases the risk of bleeding when taken concurrently with other anticoagulants?

• A. Prednisone
• B. Prozac
• C. Ibuprofen
• D. Dilantin

Answer: (D)

The medication that increases the risk of bleeding when taken concurrently with other anticoagulants is indeed Dilantin, which is the brand name for phenytoin, an anticonvulsant. While phenytoin is not primarily an anticoagulant, it can interact with other medications, including anticoagulants such as warfarin. This interaction can enhance the anticoagulant effects, leading to an increased risk of bleeding. Many patients taking anticoagulants might not realize how Dilanthin can affect their blood's coagulation status. Its potential to displace anticoagulants from protein binding sites and alter their metabolism can result in higher levels of free active anticoagulants in the blood, magnifying the risk of bleeding complications. On the other hand, prednisone is a corticosteroid that may have some antiplatelet effects but does not directly increase bleeding risks to the same extent as phenytoin when combined with anticoagulants. Prozac, an SSRI, can have some impact on bleeding due to its effects on platelet function, but it is not as significant as the interactions seen with phenytoin. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is known to potentially increase bleeding risk through its

The medication that increases the risk of bleeding when taken concurrently with other anticoagulants is indeed Dilantin, which is the brand name for phenytoin, an anticonvulsant. While phenytoin is not primarily an anticoagulant, it can interact with other medications, including anticoagulants such as warfarin. This interaction can enhance the anticoagulant effects, leading to an increased risk of bleeding.

Many patients taking anticoagulants might not realize how Dilanthin can affect their blood's coagulation status. Its potential to displace anticoagulants from protein binding sites and alter their metabolism can result in higher levels of free active anticoagulants in the blood, magnifying the risk of bleeding complications.

On the other hand, prednisone is a corticosteroid that may have some antiplatelet effects but does not directly increase bleeding risks to the same extent as phenytoin when combined with anticoagulants. Prozac, an SSRI, can have some impact on bleeding due to its effects on platelet function, but it is not as significant as the interactions seen with phenytoin. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is known to potentially increase bleeding risk through its