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.
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?
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Other interactions of Sulindac
- Ketorolac intranasal + Sulindac Contraindicated
- Ketorolac + Sulindac Contraindicated
- Aceclofenac + Sulindac Major
- Acetylsalicylic acid + Sulindac Major
- Alteplase + Sulindac Major
- Amiloride + Sulindac Major
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.
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