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Drug interactions

Celecoxib + Vortioxetine

Severity: Moderate

Celecoxib and Vortioxetine: 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

Vortioxetine, as a serotonergic antidepressant, may impair platelet function, and combining it with an NSAID raises the risk of bleeding, notably gastrointestinal bleeding.

What this interaction means in plain words

Celecoxib and Vortioxetine 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; Vortioxetine belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive effects on hemostasis from inhibition of platelet serotonin uptake and NSAID-related mucosal injury and COX inhibition.

What to do

Monitor for bleeding symptoms and hemoglobin, and prefer short courses of celecoxib at the lowest effective dose. Consider a proton pump inhibitor in patients at high GI risk.

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 Vortioxetine?

MediHelp rates the interaction as moderate. Celecoxib and Vortioxetine 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. Vortioxetine, as a serotonergic antidepressant, may impair platelet function, and combining it with an NSAID raises the risk of bleeding, notably gastrointestinal bleeding.

How serious is the interaction between Celecoxib and Vortioxetine?

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 for bleeding symptoms and hemoglobin, and prefer short courses of celecoxib at the lowest effective dose. Consider a proton pump inhibitor in patients at high GI risk.

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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