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Drug interactions

Bisoprolol + Indomethacin

Severity: Moderate

Bisoprolol and Indomethacin: 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

Indomethacin may reduce the antihypertensive effect of bisoprolol with continued use.

What this interaction means in plain words

Bisoprolol and Indomethacin 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.

Bisoprolol belongs to Cardiovascular; Indomethacin belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

NSAID inhibition of vasodilatory prostaglandins and fluid retention counteract beta-blocker effect.

What to do

Monitor blood pressure during concurrent use and adjust antihypertensive therapy if needed.

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 Bisoprolol with Indomethacin?

MediHelp rates the interaction as moderate. Bisoprolol and Indomethacin 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. Indomethacin may reduce the antihypertensive effect of bisoprolol with continued use.

How serious is the interaction between Bisoprolol and Indomethacin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure during concurrent use and adjust antihypertensive therapy if needed.

What other medicines interact with Indomethacin?

MediHelp also lists interactions of Indomethacin with, for example, Ketorolac, Ketorolac intranasal, Aceclofenac. The full list is on the Indomethacin page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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