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Drug interactions

Cefuroxime + Ibuprofen / famotidine

Severity: Moderate

Cefuroxime and Ibuprofen / famotidine: 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

Cefuroxime axetil is absorbed better in an acidic stomach and with food. Famotidine raises gastric pH and may reduce the absorption of oral cefuroxime axetil, possibly lowering antibiotic exposure. The ibuprofen component has no relevant effect on this.

What this interaction means in plain words

Cefuroxime and Ibuprofen / famotidine 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.

Evidence level: Moderate

Why it happens

Famotidine-induced increase in gastric pH reduces the absorption of cefuroxime axetil.

What to do

Take oral cefuroxime axetil with food and consider an alternative antibiotic or avoid acid suppression if treating a serious infection. Monitor clinical response.

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 Cefuroxime with Ibuprofen / famotidine?

MediHelp rates the interaction as moderate. Cefuroxime and Ibuprofen / famotidine 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. Cefuroxime axetil is absorbed better in an acidic stomach and with food. Famotidine raises gastric pH and may reduce the absorption of oral cefuroxime axetil, possibly lowering antibiotic exposure. The ibuprofen component has no relevant effect on this.

How serious is the interaction between Cefuroxime and Ibuprofen / famotidine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Take oral cefuroxime axetil with food and consider an alternative antibiotic or avoid acid suppression if treating a serious infection. Monitor clinical response.

What other medicines interact with Cefuroxime?

MediHelp also lists interactions of Cefuroxime with, for example, Aluminum hydroxide, Amikacin, Bcg vaccine live. The full list is on the Cefuroxime page.

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