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. 2020 Nov 3;20(6):559–570. doi: 10.1007/s40256-020-00446-6

Fig. 2.

Fig. 2

Interactions between antithrombotic drugs and agents used for COVID-19. White: no data; green: no interaction; yellow: minor interaction, possibly requiring dose reduction of DOACs, additional INR controls (if VKA therapy) or functional monitoring of antiplatelet activity (in the case of P2Y12 treatment); red: co-administration is contraindicated because of significant interaction. Upward arrows: increased activity of the antithrombotic drug, proportional to the number of arrows; downward arrows: decreased activity of the antithrombotic drug, proportional to the number of arrows. Adapted from ESC Guidance for the Diagnosis and Management of CV Disease during the COVID-19 Pandemic (https://www.escardio.org/Education/COVID-19-and-Cardiology/ESC-COVID-19-Guidance). COVID-19 coronavirus disease 2019, CV cardiovascular, DOAC direct oral anticoagulant, ESC European Society of Cardiology, INR international normalized ratio, UFH unfractionated heparin, VKA vitamin K antagonist anticoagulant