Table 3.164.
Drug use in patients on warfarin
Drug group | Avoid since warfarin is enhanced | No significant interference | Alternatives that can be used |
Antibacterials |
• Benzylpenicillin • Cephalosporins (2nd, 3rd generation) | • Ampicillin • Amoxicillin | • Azithromycin • Cephalosporins (others) • Penicillin V |
• Clarithromycin • Clindamycin • Ciprofloxacin | • Amoxicillin plus clavulanic acid | ||
• Co-trimoxazole (and other sulphonamides) • Doxycycline | |||
• Erythromycin • Isoniazid • Metronidazole • Neomycin | |||
• Ofloxacin • Quinolones | |||
• Tetracyclines | |||
Antifungals |
• Azoles (fluconazole, itraconazole, ketoconazole, miconazole) | • Amphotericin • Nystatin | |
• Griseofulvin | |||
Antivirals | • Ritonavir • Saquinavir | ||
Analgesics |
• Aspirin • Indometacin • Ketorolac • Ketoprofen | • Ibuprofen • Paracetamol/acetaminophen | • Celecoxib • Codeine |
• Naproxen • Piroxicam • Tramadol | • Dextropropoxyphene • Diclofenac | ||
• Dihydrocodeine | |||
Others | • SSRIs • TCAs | • Benzodiazepines |