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Drug interactions

Cefixime + Willow bark

Severity: Minor

Cefixime and Willow bark: 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

Willow bark contains salicin, which is converted to salicylic acid, an anionic compound handled by renal tubular secretion. Competition with cefixime is theoretically possible but unlikely to matter clinically.

What this interaction means in plain words

Cefixime and Willow bark 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

Theoretical competition for renal tubular organic anion transport.

What to do

No routine action is needed; avoid high-dose willow bark in patients with renal impairment or salicylate sensitivity.

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 Cefixime with Willow bark?

MediHelp rates the interaction as minor. Cefixime and Willow bark have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Willow bark contains salicin, which is converted to salicylic acid, an anionic compound handled by renal tubular secretion. Competition with cefixime is theoretically possible but unlikely to matter clinically.

How serious is the interaction between Cefixime and Willow bark?

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 routine action is needed; avoid high-dose willow bark in patients with renal impairment or salicylate sensitivity.

What other medicines interact with Cefixime?

MediHelp also lists interactions of Cefixime with, for example, Typhoid vaccine live, Cholera vaccine, Kanamycin. The full list is on the Cefixime page.

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

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