Drug Interaction Report

Anagrelide and Trazodone: Interaction Details

A pharmacist-reviewed analysis of the Anagrelide and Trazodone interaction: the documented clinical effects, severity rating, onset, mechanism, and management considerations, with cited references throughout.

AI-assisted, pharmacist-reviewed · Source data updated Aug 8, 2026 · Sources: FDA labeling, DDInter 2.0, cited literature

Anagrelide

Agrylin Agrylin®
+

Trazodone

Raldesy
Dr. Brian Staiger, PharmD, BCPS
Medically reviewed by
Dr. Brian Staiger, PharmD, BCPS
Updated Aug 8, 2026
Editorial policy · Data sources
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Interaction severity
Major
Potentially serious — often needs a change or close monitoring.
How we grade severity & evidence

Severity levels

  • Contraindicated: These should generally not be used together.
  • Major: Potentially serious — often needs a change or close monitoring.
  • Moderate: Can be significant — usually manageable with monitoring.
  • Minor: Usually limited clinical impact.

Evidence grades

  • Established: Well documented — supported by controlled studies or strong clinical data.
  • Probable: Good supporting evidence, though not definitively proven.
  • Suspected: Some evidence suggests this interaction, but it is not well established.
  • Possible: Limited or conflicting evidence; the interaction may occur.
  • Theoretical: Predicted from the drugs' pharmacology; not yet confirmed in people.

Ratings come from the documented interaction literature and are reviewed by a pharmacist. They describe the documented risk of the combination, not what will necessarily happen to you — your dose, timing, and health picture all matter.

Of 434 documented Anagrelide interactions, 376 are rated major — including this one.
Worried about symptoms right now? Contact your pharmacist or prescriber, or call Poison Control at 1-800-222-1222 (US). Call 911 for an emergency.
Onset
unspecified
Evidence
theoretical
Severity
Major

What happens

Increased risk of QT interval prolongation and an increased risk of bleeding

Interaction Deep Dive

Drugs that interfere with serotonin reuptake, including traZODone, increase risk of bleeding events. Bleeding events associated with serotonin reuptake inhibitors, sourced from case reports to epidemiological studies, have included ecchymosis, hematoma, epistaxis, petechiae, gastrointestinal bleeding, and life-threatening hemorrhage. TraZODone also prolongs the QT interval. Avoid coadministration of traZODone with another drug known to prolong the QT interval because of increased risk for cardiac arrhythmias21. Concomitant use of traZODone with other drugs that affect hemostasis such as anagrelide, may also potentiate the risk of bleeding. Inform patients of the increased risk of bleeding with the concomitant use 1.

Why it happens (mechanism)

Additive QT interval prolongation; additive effects on hemostasis

Literature reports

1 report — tap to read

a) Drugs that interfere with serotonin reuptake, including traZODone, increase risk of bleeding events. Bleeding events associated with serotonin reuptake inhibitors, sourced from case reports to epidemiological studies, have included ecchymosis, hematoma, epistaxis, petechiae, gastrointestinal bleeding, and life-threatening hemorrhage 12.

Common questions

Can I take Anagrelide and Trazodone together?

Increased risk of QT interval prolongation and an increased risk of bleeding Always confirm with your pharmacist or prescriber before making any change.

How serious is the Anagrelide and Trazodone interaction?

It is rated major. Potentially serious — often needs a change or close monitoring.

How quickly could this interaction happen?

The documented onset is "unspecified". The timing of this interaction is not well characterized.

How strong is the evidence for this interaction?

The evidence is graded "theoretical". Predicted from the drugs' pharmacology; not yet confirmed in people.

From our Q&A

Real reader questions about these medications, each personally answered by our pharmacist:

Questions for your pharmacist

  • Does my dose of Anagrelide or Trazodone need adjusting while I take them together?
  • What symptoms should prompt me to call you or my prescriber right away?
  • Does the timing of my doses matter for this combination?
  • Is there a safer alternative to one of these medications for me?

References (2)

  1. Product Information: Trazodone HCl oral tablets, trazodone HCl oral tablets. Rising Pharma Holdings, Inc (per DailyMed), East Brunswick, NJ, 2025. DailyMed
  2. Product Information: DESYREL(R) oral tablets, trazodone HCl oral tablets. Fera Pharmaceuticals LLC (per FDA), Locust Valley, NY, 2018. DailyMed
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Anagrelide

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All Anagrelide interactions (434) Anagrelide drug information
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Trazodone

Keep reading about Trazodone

All Trazodone interactions (124)
Also serious with: Linezolid Injection Ketoconazole Topical Ivabradine Hydromorphone Rectal
Beyond drug–drug

These medications also interact with supplements

Prescription drugs aren't the whole picture — herbal and dietary supplements can interact with them too. From the evidence-graded Natural Medicines database:

Anagrelide + Activated Charcoal Danshen Piracetam Aconite Adrafinil African Wild Potato Allspice Aloe + 257 more
Trazodone + Activated Charcoal Beer Grapefruit Lithium Siberian Cocklebur St. John's Wort Wine 1,3-dmaa + 189 more

major · moderate · minor — check everything you take with our drug–supplement interaction checker.

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This information is for education, not a substitute for professional medical advice. Do not start, stop, or change any medication without talking to your pharmacist or prescriber.