
Dr
G A McKay, Consultant Physician, University Medical Unit, Wards 29 & 30,
Glasgow Royal Infirmary, Castle Street, Glasgow G4 0SF, UK
Email: gerard.mckay@ggc.scot.nhs.uk
SMJ 2009 54(1): 58
Abstract
Warfarin
is an established treatment method for anticoagulating patients following
diagnosis of deep vein thrombosis (DVT). We
present a patient who was on rifampicin treatment for pruritis, secondary to
primary biliary cirrhosis (PBC), who was diagnosed with a DVT post operatively.
A therapeutic INR was not obtained following fourteen days of warfarin
treatment due to a drug interaction with rifampicin.
We review the use of rifampicin for pruritis in PBC and the mechanism of
interaction between warfarin and rifampicin.
Case
Report
A
57-year-old lady was referred by her GP with a 3-day history of left thigh and
calf pain. On examination she was
tender over her left thigh and posterior calf with left leg swelling. Four weeks previously, she was admitted for elective
laparatomy with a view to resecting a presumed Hepatocellular Carcinoma (HCC)
(due to high AFP of 265 and a 2.2cm liver lesion identified on CT scan).
In theatre no lesion consistent with HCC was identified and she therefore
underwent laparotomy alone. She
received DVT prophylaxis during the admission, but had been less mobile during
the 3 weeks since discharge. Her
past medical history included primary biliary cirrhosis and polyarthritis.
Her medications included Ursodeoxycholic acid 500mg bd, Rifampicin 300mg
bd, Omeprazole 20mg bd and Calciferol 7.5mg/ml once/month.
Blood
results showed an elevated D dimer of 6780, PT ratio 1.2 and platelets were 90. Ultrasound Doppler of the left leg revealed extensive
recent-looking occlusive thrombus in the deep venous system of the left lower
limb, at which time she was commenced on warfarin, with a view to 3-month
anticoagulation given the clear precipitant.
She remained on treatment dose dalteparin (12,500 units) from admission,
pending a therapeutic INR. Physiotherapists
also provided input with regards to poor mobility.
During
admission her INR increased only slowly with increasing doses of warfarin; this
was due to the known interaction with rifampicin.
The patient was on rifampicin for itch secondary to primary biliary
cirrhosis and had been on this for almost ten years; she was reluctant to stop
treatment as the itch was previously very severe and had markedly improved on
rifampicin.
This
patient remained on warfarin and dalteparin for a total of 14 days, resulting in
an INR of 1.6 and a warfarin dose of 20mg.
Figure 1 illustrates the 14 days of warfarin treatment and the
patients’ INR response to this. After
discussion with Haematologists it was decided that warfarin should be
discontinued and for treatment to continue with dalteparin alone, treatment
length to be 3-4 months and dose to be decreased by 20% after one month of
treatment. Platelet count after 13
days of dalteparin was 112 and although this was low, it had been stable and did
not decrease during treatment; therefore this was reassuring that there was no
evidence of Heparin Induced Thrombocytopenia.
The patient was happy with this plan and on subsequent review in medical
clinic 3 months later, dalteparin was discontinued.
Discussion
Pruritis
and use of Rifampicin in Primary Biliary Cirrhosis
Primary
Biliary Cirrhosis (PBC) is a chronic autoimmune disease of the liver,
characterised by destruction of the interlobular bile ducts and leading to
progressive ductopenia and chronic cholestasis.1,2
Pruritis is a disabling and distressing symptom of chronic cholestasis
and is estimated to occur in up to 80% of patients with PBC.3,4
Symptoms may be so severe as to significantly impact on the patients
quality of life and to warrant liver transplantation.2
Rifampicin
has been recommended for second line treatment of pruritis in PBC by recent
American Guidelines, in patients who fail on or are intolerant to the side
effects of cholestyramine.2 The
mechanism of action of rifampicin in improving pruritis is unclear; It is
hypothesized that it may reduce hepatic uptake or alter the metabolism of bile
salts and other pruritogens.1,4
Khurana
et al. performed a meta – analysis of five randomised controlled trials (total
of 61 patients) comparing efficacy of rifampicin with placebo or alternative
treatment for pruritis secondary to chronic cholestasis; They concluded that
rifampicin was a safe and effective for treatment of pruritis.5 Tandon et al. subsequently reviewed use of bile acid binding
agents, opioid antagonists or rifampicin in treatment of cholestasis associated
pruritis, using four of the above mentioned trials for data extraction.4
Rifampicin was significantly more likely to reduce pruritis than control
(SMD -1.62, 95% CI -0.35 to -0.18).4
Our
patient was successfully commenced on rifampicin for pruritis in 1998 and had
therefore been on treatment for 10 years. She
was reluctant to discontinue rifampicin due to the sustained improvement in
pruritis and consequently this was not an option during the management of her
DVT. Case reports have described
hepatitis and liver dysfunction with rifampicin therapy and it has been
suggested that longer term trials are performed to review the safety and
efficacy of rifampicin; long-term use of rifampicin is not well documented in
the literature.1,5
Interaction
between Rifampicin and Warfarin
Warfarin
is a racaemic mixture of the isomers R-warfarin and S-warfarin, the S isomer is
around seven times more active in terms of anticoagulation.
Both isomers are extensively metabolised in the liver by the cytochrome
P450 isoenzymes (predominantly cytochrome P4502C9). Rifampicin is known to be a potent inducer of these enzymes
and hence accelerates the metabolism of warfarin.
Pharmacokinetic studies have shown that the clearance of R-warfarin is
increased threefold and the clearance of S-warfarin two fold by concomitant
administration of rifampicin.6 Plasma
levels of warfarin are significantly reduced by rifampicin to the extent where
they are undetectable in some cases.7,8
Average half life of warfarin is usually 36 hours but was reduced to 0.47
hours in one patient who had been taking warfarin and rifampicin together for 25
days.8
The
clinical significance of this interaction is well documented.
Previous cases have reported warfarin doses of 20mg daily or more being
necessary to achieve therapeutic anticoagulation.8-11
Despite these high doses, INR remained sub therapeutic in some patients.
In one case a dose of 25mg of warfarin per day achieved a maximum INR of
1.9 in a patient also taking rifampicin 600mg per day.11
We could only find one case report in the literature describing the
treatment in this situation to be the discontinuation of warfarin and
replacement with low molecular weight heparin (LMWH) while the patient remained
on rifampicin therapy.12
It
takes approximately one week for maximal enzyme induction to occur when
rifampicin is commenced, hence drug interactions become apparent after this
time.9,11 This patient had been taking rifampicin long term, therefore liver enzymes
would already be maximally induced and the interaction was apparent immediately
from the initiation of warfarin. Rifampicin
is not known to interact with any of the patient’s other medicines.
The patient was not taking any other medications which are known to
decrease the anticoagulant effect of warfarin, although the concomitant dosing
of omeprazole may have been expected to cause a minor increase in the
anticoagulant effect by inhibiting the metabolism of R-warfarin.
Liver function remained stable throughout admission.
The maximum INR achieved in this patient was 1.8 on day 4 of warfarin
therapy. INR subsequently decreased
further and was 1.6 at a dose of 20mg daily of warfarin.
After 14 days of therapy warfarin was discontinued and the decision to
continue LMWH for 3-4 months was made.
When
warfarin and rifampicin are given concomitantly a 2-3 fold increase in the usual
warfarin dose should be expected.8,11
Frequent monitoring of the INR will be required and consideration should
be given to substitution with LMWH if high doses of warfarin consistently fail
to achieve therapeutic anticoagulation. Discontinuation
of rifampicin also carries a risk of over-anticoagulation.
Patients should be monitored carefully during this time and warfarin
dosage should be gradually reduced over several weeks.11
Conclusion
This
case highlights the significant interaction between rifampicin and warfarin.
It raises the question of whether short-term anticoagulation with
warfarin should be attempted or if LMWH should be the first line treatment
option in patients taking rifampicin. Rifampicin
is a potent inducer of the cytochrome P450 enzymes which are involved in the
metabolism of numerous drugs. The
potential for drug interactions should be considered when initiating long-term
rifampicin therapy and revisited when subsequently introducing additional
medication.
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