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Drug interactions

Celecoxib + Ofloxacin

Severity: Moderate

Celecoxib and Ofloxacin: 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

Concurrent NSAIDs may increase the CNS stimulating and seizure-provoking potential of fluoroquinolones. The risk is greatest in patients with epilepsy, prior seizures or other predisposing factors.

What this interaction means in plain words

Celecoxib and Ofloxacin 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; Ofloxacin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Fluoroquinolones antagonize GABA-A receptors, and NSAIDs may potentiate this effect.

What to do

Avoid the combination in patients with seizure history or lowered seizure threshold; otherwise monitor for agitation, tremor or seizures.

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 Ofloxacin?

MediHelp rates the interaction as moderate. Celecoxib and Ofloxacin 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. Concurrent NSAIDs may increase the CNS stimulating and seizure-provoking potential of fluoroquinolones. The risk is greatest in patients with epilepsy, prior seizures or other predisposing factors.

How serious is the interaction between Celecoxib and Ofloxacin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination in patients with seizure history or lowered seizure threshold; otherwise monitor for agitation, tremor or seizures.

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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