Combining Bivalirudin and Celecoxib is a major interaction and should generally be avoided without close medical supervision.
Combining celecoxib with bivalirudin significantly increases your risk of bleeding, including serious internal bleeding. Your doctor may need to adjust your medications or monitor you closely.
Mechanism: Celecoxib, an NSAID, inhibits prostaglandin synthesis, which can impair platelet function and damage the gastrointestinal mucosa, increasing the risk of bleeding. Bivalirudin is a direct thrombin inhibitor, which directly interferes with the coagulation cascade. The concurrent use leads to an additive pharmacodynamic effect, significantly increasing the risk of hemorrhage.
Bivalirudin vs. Celecoxib
Compare Bivalirudin and Celecoxib: mechanism of action, indications, side effects, cost, and which may be right for you.
Drug A
Bivalirudin
Bivalirudin
Anticoagulants
RxDrug B
Celecoxib
celecoxib
NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)
RxQuick Comparison
| Category | Bivalirudin | Celecoxib |
|---|---|---|
| Drug Class | Anticoagulants | NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) |
| Rx Status | Rx | Rx |
| Generic Available | No | No |
| Typical Cost | $1,000–$3,000/dose | $150–$400/month |
Bivalirudin Overview
Bivalirudin is an anticoagulant medication that helps prevent blood clots. It works by directly blocking a substance in the blood called thrombin, which is essential for clot formation. This medication is primarily used during a heart procedure called percutaneous coronary intervention (PCI), especially for patients who cannot use heparin due to a specific blood condition.
Full Bivalirudin guide →Celecoxib Overview
CELECOXIB (brand name: celecoxib) is a NSAIDs. 1 INDICATIONS AND USAGE Celecoxib capsules are indicated Celecoxib capsules are a nonsteroidal anti-inflammatory drug indicated for: • Osteoarthritis (OA) ( 1.1 ) • Rheumatoid Arthritis (RA) ( 1.2 ) • Juvenile Rheumatoid Arthritis (JRA) in patients 2 years and older ( 1.3 ) • Ankylosing Spondylitis…
Full Celecoxib guide →How Each Drug Works
Bivalirudin
Bivalirudin directly inhibits thrombin by specifically binding both to the catalytic site and to the anion-binding exosite of circulating and clot-bound thrombin. Thrombin is a serine proteinase that plays a central role in the thrombotic process, acting to cleave fibrinogen into fibrin monomers and to activate Factor XIII to Factor XIIIa, allowing fibrin to develop a covalently cross-linked framework which stabilizes the thrombus; thrombin also activates Factors V and V…
Celecoxib
Celecoxib has analgesic, anti-inflammatory, and antipyretic properties. The mechanism of action of celecoxib capsules are believed to be due to inhibition of prostaglandin synthesis, primarily via inhibition of COX-2. Celecoxib is a potent inhibitor of prostaglandin synthesis in vitro. Celecoxib concentrations reached during therapy have produced in vivo effects. Prostaglandins sensitize afferent nerves and potentiate the action of bradykinin in inducing pain in animal m…
Approved Uses (Indications)
Bivalirudin
Bivalirudin for injection is indicated for use as an anticoagulant for use in patients undergoing percutaneous coronary intervention (PCI) including patients with heparin-induced thrombocytopenia and heparin-induced thrombocytopenia and thrombosis syndrome. Bivalirudin for injection is a direct thrombin inhibitor indicated for use as an anticoagulant in patients undergoing percutaneous coronary intervention (PCI) including patients with heparin-induced thrombocytopenia (HIT) or heparin-induced thrombocytopenia and thrombosis syndrome (HITTS).
Celecoxib
Celecoxib capsules are indicated Celecoxib capsules are a nonsteroidal anti-inflammatory drug indicated for:
- Osteoarthritis (OA)
- Rheumatoid Arthritis (RA)
- Juvenile Rheumatoid Arthritis (JRA) in patients 2 years and older
- Ankylosing Spondylitis (AS)
- Acute Pain (AP)
- Primary Dysmenorrhea (PD) 1.1 Osteoarthritis(OA) For the management of the signs and symptoms of OA [ see Clinical Studies ] 1.2 Rheumatoid Arthritis(RA) For the management of the signs and symptoms of RA [ see Clinical Studies ] 1.3…
Side Effects
Bivalirudin
Celecoxib
Cost Comparison
Bivalirudin
$1,000–$3,000/dose
Bivalirudin is typically administered in a hospital setting, so the cost is often covered as part of the overall procedure or hospitalization bill rather than as a separate retail prescription. Patient assistance programs might be available for specific outpatient uses, but retail coupons are generally not applicable.
Celecoxib
$150–$400/month
Since Celecoxib is available as a generic, comparing prices at different pharmacies and using discount cards like GoodRx can significantly reduce your out-of-pocket cost. Some manufacturers also offer patient assistance programs for those who qualify.
Compare prices for Bivalirudin and Celecoxib
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Medical Disclaimer
The information on RxGuide is intended for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, pharmacist, or other qualified health provider with any questions you may have regarding a medical condition or medication. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.