Do Clopidogrel, Finasteride, and Doxycycline Interact? - Pharmacology

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Is there any interaction between Clopidogrel 75mg, Finasteride 5mg, and Doxycycline 100mg?


I am taking Clopidogrel 75 mg, but I visited a dermatologist who prescribed Finasteride 5 mg and Doxycycline 100 mg.
Can these three medications be taken together, or should they be taken at separate times? Will there be any interactions between them? Will Finasteride or Doxycycline inhibit the effectiveness of Clopidogrel 75 mg? Thank you.

789, 30~39 year old female. Ask Date: 2019/04/09

Dr. Liao Huiling reply Pharmacology


Clopidogrel 75mg, finasteride 5mg, and doxycycline 100mg do not have any drug interaction issues and can be taken together.

Reply Date: 2019/04/09

More Info


Clopidogrel, Finasteride, and Doxycycline are three medications that serve different purposes and have distinct mechanisms of action. Clopidogrel is an antiplatelet medication primarily used to prevent blood clots, particularly in patients with cardiovascular diseases. Finasteride is a 5-alpha-reductase inhibitor used mainly for treating benign prostatic hyperplasia (BPH) and male pattern baldness. Doxycycline is a tetracycline antibiotic used to treat various bacterial infections, including acne and respiratory infections.

Based on current medical knowledge, there are no significant drug interactions between Clopidogrel, Finasteride, and Doxycycline. This means that taking these medications together is generally considered safe. However, it is always advisable to consult with a healthcare provider before starting any new medications, especially if you are already on a regimen that includes Clopidogrel.

When considering whether to take these medications together or at separate times, it is important to note that while there are no direct interactions, individual responses to medications can vary. Some healthcare providers may recommend taking them at different times to monitor for any potential side effects or to ensure that each medication is absorbed effectively. For example, Doxycycline should not be taken immediately before lying down to avoid the risk of esophageal irritation.

Regarding the concern that Finasteride or Doxycycline could inhibit the effectiveness of Clopidogrel, current evidence does not support this. Finasteride does not have any known effects on platelet function or the pharmacodynamics of Clopidogrel. Similarly, Doxycycline does not interfere with the antiplatelet action of Clopidogrel. Therefore, you can take these medications as prescribed without worrying about them diminishing the effectiveness of Clopidogrel.

It is also worth noting that while the combination of these medications is generally safe, each medication comes with its own set of potential side effects. Clopidogrel can increase the risk of bleeding, especially if taken with other medications that also affect bleeding risk. Doxycycline can cause gastrointestinal upset and photosensitivity, while Finasteride may lead to sexual side effects such as decreased libido or erectile dysfunction.

In conclusion, you can take Clopidogrel, Finasteride, and Doxycycline together, as there are no significant interactions between them. However, it is always best to follow your healthcare provider's advice regarding the timing and administration of these medications. If you experience any unusual symptoms or side effects while taking these medications, you should contact your healthcare provider for further evaluation. Always prioritize open communication with your healthcare team to ensure the best outcomes for your treatment plan.

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