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Drug interactions

Bumetanide + Ketoprofen

Severity: Moderate

Bumetanide and Ketoprofen: 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

Ketoprofen can reduce the diuretic and antihypertensive effects of bumetanide and may increase the risk of acute kidney injury in volume-depleted patients or those with heart failure or kidney disease.

What this interaction means in plain words

Bumetanide and Ketoprofen 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.

Bumetanide belongs to Cardiovascular; Ketoprofen belongs to Musculoskeletal.

Evidence level: High

Why it happens

NSAID inhibition of renal prostaglandins reduces renal blood flow and sodium excretion, opposing loop diuretic action.

What to do

Monitor weight, fluid status, blood pressure, serum creatinine and electrolytes. Avoid prolonged NSAID use in patients with heart failure and increase the diuretic dose only 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 Bumetanide with Ketoprofen?

MediHelp rates the interaction as moderate. Bumetanide and Ketoprofen 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. Ketoprofen can reduce the diuretic and antihypertensive effects of bumetanide and may increase the risk of acute kidney injury in volume-depleted patients or those with heart failure or kidney disease.

How serious is the interaction between Bumetanide and Ketoprofen?

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 weight, fluid status, blood pressure, serum creatinine and electrolytes. Avoid prolonged NSAID use in patients with heart failure and increase the diuretic dose only if needed.

What other medicines interact with Ketoprofen?

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

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