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Drug interactions

Cefamandole + Sulindac

Severity: Minor

Cefamandole and Sulindac: minor 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

Both agents are organic anions secreted in the renal tubule, so competition may modestly raise levels of either drug. Cefamandole can also affect clotting through hypoprothrombinemia, which may add to the NSAID's bleeding tendency.

What this interaction means in plain words

Cefamandole and Sulindac have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Competition for organic anion transporter-mediated tubular secretion.

What to do

No dose change is usually needed; monitor for NSAID adverse effects and for bleeding during prolonged cefamandole therapy.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Cefamandole with Sulindac?

MediHelp rates the interaction as minor. Cefamandole and Sulindac have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Both agents are organic anions secreted in the renal tubule, so competition may modestly raise levels of either drug. Cefamandole can also affect clotting through hypoprothrombinemia, which may add to the NSAID's bleeding tendency.

How serious is the interaction between Cefamandole and Sulindac?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose change is usually needed; monitor for NSAID adverse effects and for bleeding during prolonged cefamandole therapy.

What other medicines interact with Sulindac?

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

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

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