Gemfibrozil and Phenprocoumon: Interaction Details
AI-assisted, pharmacist-reviewed · Source data updated Aug 8, 2026 · Sources: FDA labeling, DDInter 2.0, cited literature
Gemfibrozil
Phenprocoumon
No brand names on record
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.
What happens
An increased risk of bleeding
Interaction Deep Dive
Concomitant gemfibrozil and anticoagulant therapy has been reported to result in a potentiation of the hypoprothrombinemic effect of the anticoagulant. The dosage of warfarin should be reduced to maintain the prothrombin time at the desired level to prevent bleeding complications. Prothrombin measurements are advisable until it has been definitely determined that the prothrombin level has stabilized1.
Why it happens (mechanism)
Unknown
Common questions
Can I take Gemfibrozil and Phenprocoumon together?
An increased risk of bleeding Always confirm with your pharmacist or prescriber before making any change.
How serious is the Gemfibrozil and Phenprocoumon interaction?
It is rated moderate. Can be significant — usually manageable with monitoring.
How quickly could this interaction happen?
The documented onset is "delayed". Effects tend to build up gradually over days to weeks.
How strong is the evidence for this interaction?
The evidence is graded "theoretical". Predicted from the drugs' pharmacology; not yet confirmed in people.
Questions for your pharmacist
- Does my dose of Gemfibrozil or Phenprocoumon 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 anything you'd monitor while I'm on both?
References (1)
- Product Information: Lopid(R), gemfibrozil. Pfizer Inc. New York, NY, 2002. DailyMed
Keep reading about Gemfibrozil
Keep reading about Phenprocoumon
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:
major · moderate · minor — check everything you take with our drug–supplement interaction checker.
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