Mednet Logo
CommunityHospital Medicine

How do you manage drug-drug interactions between oral anticoagulants and the ARSI agents such as apalutamide and enzalutamide?

1 Answer
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · VCU Massey Comprehensive Cancer Center
Answered on · Updated on

Commonly used oral anticoagulants, such as apixaban, rivaroxaban, and warfarin are substrates of hepatic cytochrome P450 enzymes (CYP). Co-administration of an AR signaling inhibitor (ARSI) variably affects the concentration of those drugs depending on the effect on the type of CYP enzymes. For exam...

Join for free or sign in to see the full answer