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Drug interactions

Celecoxib + Mipomersen

Severity: Moderate

Celecoxib and Mipomersen: 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

Mipomersen commonly raises liver aminotransferases and can cause hepatic fat accumulation, and celecoxib has occasional hepatotoxicity. Using them together may compound liver injury risk.

What this interaction means in plain words

Celecoxib and Mipomersen 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: Low

Why it happens

Additive potential for hepatocellular injury; no specific pharmacokinetic interaction is established.

What to do

Monitor ALT, AST and bilirubin at baseline and regularly during therapy, and interrupt treatment if significant elevations occur.

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 Mipomersen?

MediHelp rates the interaction as moderate. Celecoxib and Mipomersen 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. Mipomersen commonly raises liver aminotransferases and can cause hepatic fat accumulation, and celecoxib has occasional hepatotoxicity. Using them together may compound liver injury risk.

How serious is the interaction between Celecoxib and Mipomersen?

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 ALT, AST and bilirubin at baseline and regularly during therapy, and interrupt treatment if significant elevations occur.

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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