The risk of a potential interaction between NovoSeven and coagulation factor concentrates is unknown. Simultaneous use of prothrombin complex concentrates, activated or not, should be avoided.
Antifibrinolytics have been reported to reduce blood loss in association with surgery in haemophilia patients, especially in orthopaedic surgery and surgery in regions rich in fibrinolytic activity, such as the oral cavity. Antifibrinolytics are also used to reduce blood loss in women with postpartum haemorrhage. Experience with concomitant administration of antifibrinolytics and rFVIIa treatment is, however, limited.
Based on a non-clinical study (see Pharmacology: Toxicology: Preclinical safety data under Actions), it is not recommended to combine rFVIIa and rFXIII.
There are no clinical data available on interaction between rFVIIa and rFXIII.