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Drug interactions

Colestipol + Meloxicam

Severity: Moderate

Colestipol and Meloxicam: 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

Bile acid sequestrants bind acidic drugs in the gut, and the related resin cholestyramine is known to increase meloxicam clearance and reduce its absorption and half-life. Colestipol may reduce meloxicam exposure similarly and blunt its efficacy.

What this interaction means in plain words

Colestipol and Meloxicam 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.

Colestipol belongs to Cardiovascular; Meloxicam belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Binding of meloxicam in the gastrointestinal tract by the resin reduces absorption and interrupts enterohepatic recirculation.

What to do

Give meloxicam at least 1 hour before or 4 to 6 hours after colestipol. Monitor analgesic response.

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 Colestipol with Meloxicam?

MediHelp rates the interaction as moderate. Colestipol and Meloxicam 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. Bile acid sequestrants bind acidic drugs in the gut, and the related resin cholestyramine is known to increase meloxicam clearance and reduce its absorption and half-life. Colestipol may reduce meloxicam exposure similarly and blunt its efficacy.

How serious is the interaction between Colestipol and Meloxicam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give meloxicam at least 1 hour before or 4 to 6 hours after colestipol. Monitor analgesic response.

What other medicines interact with Meloxicam?

MediHelp also lists interactions of Meloxicam with, for example, Ketorolac intranasal, Ketorolac, Aceclofenac. The full list is on the Meloxicam page.

Full monographs, dosing and an interaction checker in the MediHelp app

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