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Drug interactions

Celecoxib + Quinapril

Severity: Moderate

Celecoxib and Quinapril: 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 including celecoxib can weaken the antihypertensive action of ACE inhibitors and impair renal function when combined. Risk is higher in the elderly, in volume depletion and in pre-existing renal disease, and hyperkalemia may occur.

What this interaction means in plain words

Celecoxib and Quinapril 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: High

Why it happens

Inhibition of vasodilatory renal prostaglandin synthesis reduces renal perfusion and opposes ACE inhibitor effects.

What to do

Monitor blood pressure, serum creatinine and potassium at the start and during combined use, and maintain hydration. Use the lowest effective celecoxib dose for the shortest time.

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 Quinapril?

MediHelp rates the interaction as moderate. Celecoxib and Quinapril 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 including celecoxib can weaken the antihypertensive action of ACE inhibitors and impair renal function when combined. Risk is higher in the elderly, in volume depletion and in pre-existing renal disease, and hyperkalemia may occur.

How serious is the interaction between Celecoxib and Quinapril?

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 blood pressure, serum creatinine and potassium at the start and during combined use, and maintain hydration. Use the lowest effective celecoxib dose for the shortest time.

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

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