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Drug interactions

Bumetanide + Meclofenamic acid

Severity: Moderate

Bumetanide and Meclofenamic acid: 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 reduce the diuretic and natriuretic response to loop diuretics. In patients with heart failure, cirrhosis or renal disease this may cause fluid retention, and the combination also increases the risk of kidney injury.

What this interaction means in plain words

Bumetanide and Meclofenamic acid 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; Meclofenamic acid belongs to Musculoskeletal.

Evidence level: High

Why it happens

NSAID inhibition of renal prostaglandins reduces renal blood flow and blunts loop diuretic secretion and action, causing sodium retention.

What to do

Monitor weight, edema, blood pressure and renal function, and increase the diuretic dose if response falls. Avoid the NSAID in heart failure or renal impairment where feasible.

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 Meclofenamic acid?

MediHelp rates the interaction as moderate. Bumetanide and Meclofenamic acid 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 reduce the diuretic and natriuretic response to loop diuretics. In patients with heart failure, cirrhosis or renal disease this may cause fluid retention, and the combination also increases the risk of kidney injury.

How serious is the interaction between Bumetanide and Meclofenamic acid?

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, edema, blood pressure and renal function, and increase the diuretic dose if response falls. Avoid the NSAID in heart failure or renal impairment where feasible.

What other medicines interact with Meclofenamic acid?

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

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