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Drug interactions

Celecoxib + Furosemide

Severity: Moderate

Celecoxib and Furosemide: 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 blunt the diuretic and natriuretic effects of loop diuretics and may reduce renal function, particularly in volume-depleted or elderly patients. This can reduce control of edema and hypertension and raise the risk of acute kidney injury.

What this interaction means in plain words

Celecoxib and Furosemide 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.

Celecoxib belongs to Musculoskeletal; Furosemide belongs to Cardiovascular.

Evidence level: High

Why it happens

NSAID inhibition of renal prostaglandins reduces renal blood flow and sodium excretion, opposing furosemide's action.

What to do

Monitor weight, blood pressure, edema and renal function, and increase the diuretic dose if response is diminished. Avoid dehydration and use the lowest celecoxib dose.

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 Celecoxib with Furosemide?

MediHelp rates the interaction as moderate. Celecoxib and Furosemide 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 blunt the diuretic and natriuretic effects of loop diuretics and may reduce renal function, particularly in volume-depleted or elderly patients. This can reduce control of edema and hypertension and raise the risk of acute kidney injury.

How serious is the interaction between Celecoxib and Furosemide?

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, blood pressure, edema and renal function, and increase the diuretic dose if response is diminished. Avoid dehydration and use the lowest celecoxib dose.

What other medicines interact with Celecoxib?

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

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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