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Drug interactions

Aspirin rectal + Irbesartan

Severity: Moderate

Aspirin rectal and Irbesartan: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Rectal aspirin is absorbed systemically and at analgesic doses can blunt the effect of irbesartan and impair renal function. Risk is higher in older, volume-depleted or renally impaired patients.

What this interaction means in plain words

Aspirin rectal and Irbesartan can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Moderate

Why it happens

Inhibition of renal prostaglandin synthesis reduces renal perfusion and opposes angiotensin receptor blockade.

What to do

Limit aspirin dose and duration where possible. Monitor blood pressure, creatinine and potassium.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Aspirin rectal with Irbesartan?

MediHelp rates the interaction as moderate. Aspirin rectal and Irbesartan can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Rectal aspirin is absorbed systemically and at analgesic doses can blunt the effect of irbesartan and impair renal function. Risk is higher in older, volume-depleted or renally impaired patients.

How serious is the interaction between Aspirin rectal and Irbesartan?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit aspirin dose and duration where possible. Monitor blood pressure, creatinine and potassium.

What other medicines interact with Irbesartan?

MediHelp also lists interactions of Irbesartan with, for example, Aliskiren, Sparsentan, Amifostine. The full list is on the Irbesartan page.

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