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Drug interactions

Celecoxib + Sparsentan

Severity: Moderate

Celecoxib and Sparsentan: 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

Celecoxib can reduce renal function, which is a concern in patients with kidney disease who take sparsentan. Sparsentan may also induce CYP2C9 and lower celecoxib exposure, reducing its effect.

What this interaction means in plain words

Celecoxib and Sparsentan 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; Sparsentan belongs to Genitourinary.

Evidence level: Moderate

Why it happens

NSAID-induced reduction in renal prostaglandins combines with dual endothelin/angiotensin blockade, and sparsentan induces CYP2C9 which metabolises celecoxib.

What to do

Monitor renal function, blood pressure and potassium during concurrent use, and avoid regular NSAID use where possible. Assess analgesic response and adjust therapy if celecoxib seems less effective.

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 Sparsentan?

MediHelp rates the interaction as moderate. Celecoxib and Sparsentan 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 can reduce renal function, which is a concern in patients with kidney disease who take sparsentan. Sparsentan may also induce CYP2C9 and lower celecoxib exposure, reducing its effect.

How serious is the interaction between Celecoxib and Sparsentan?

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 renal function, blood pressure and potassium during concurrent use, and avoid regular NSAID use where possible. Assess analgesic response and adjust therapy if celecoxib seems less effective.

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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