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Can I take Eplerenone and Lixiana together?

Drug interaction guide

Taking eplerenone and Lixiana (edoxaban) together may increase your risk of bleeding. While eplerenone is a diuretic (water tablet) and Lixiana is a blood thinner, they do not have a direct chemical interaction. However, eplerenone can sometimes affect kidney function or potassium levels, which can indirectly influence how your body handles blood thinners. Additionally, if eplerenone causes dehydration, it could lead to a higher concentration of Lixiana in your blood, making bleeding more likely.

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Why this happens

There is no direct metabolic interaction between these drugs. However, eplerenone can cause changes in kidney function (renal impairment) or electrolyte imbalances. Since Lixiana is partially cleared by the kidneys, any significant drop in kidney function caused by eplerenone could lead to Lixiana building up in the system, increasing the anticoagulant effect.

What you should do

You can usually take these medicines together, but you should be monitored by your doctor. Ensure you have regular blood tests to check your kidney function and potassium levels. Seek medical advice immediately if you notice signs of unusual bleeding, such as unexplained bruising, blood in your urine or stools, or nosebleeds that take a long time to stop.

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Using other medicines

Taking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Disclaimer

This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.

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Article history

The information on this page is written and peer reviewed by qualified clinicians.

  • 25 Jan 2026 | Originally published
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