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Drug interactions

Azilsartan + Meclofenamate

Severity: Moderate

Azilsartan and Meclofenamate: 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

NSAIDs can blunt the antihypertensive effect of angiotensin receptor blockers and, together with them, increase the risk of acute kidney injury. The risk is highest in older patients, those who are volume depleted, and those with existing renal impairment.

What this interaction means in plain words

Azilsartan and Meclofenamate 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: High

Why it happens

NSAIDs inhibit vasodilatory prostaglandin synthesis, reducing renal blood flow and sodium excretion, which combines with ARB blockade of efferent arteriolar tone.

What to do

Ensure adequate hydration and monitor blood pressure, serum creatinine and potassium after starting the NSAID. Use the lowest effective NSAID dose for the shortest time, or choose an alternative analgesic.

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 Azilsartan with Meclofenamate?

MediHelp rates the interaction as moderate. Azilsartan and Meclofenamate 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. NSAIDs can blunt the antihypertensive effect of angiotensin receptor blockers and, together with them, increase the risk of acute kidney injury. The risk is highest in older patients, those who are volume depleted, and those with existing renal impairment.

How serious is the interaction between Azilsartan and Meclofenamate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Ensure adequate hydration and monitor blood pressure, serum creatinine and potassium after starting the NSAID. Use the lowest effective NSAID dose for the shortest time, or choose an alternative analgesic.

What other medicines interact with Azilsartan?

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

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