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Drug interactions

Deferasirox + Ibuprofen

Severity: Major

Deferasirox and Ibuprofen: major 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

Both drugs can injure the gastrointestinal mucosa and cause ulceration and hemorrhage, and both can affect renal function. Together they raise the risk of serious GI bleeding and kidney injury.

What this interaction means in plain words

Deferasirox and Ibuprofen can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Deferasirox belongs to Miscellaneous; Ibuprofen belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive gastrointestinal mucosal toxicity and nephrotoxicity, with NSAID-related platelet inhibition adding to bleeding risk.

What to do

Avoid combining where possible; if unavoidable, monitor renal function and for GI bleeding, and consider gastroprotection. Choose a non-NSAID analgesic when possible.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Deferasirox with Ibuprofen?

MediHelp rates the interaction as major. Deferasirox and Ibuprofen can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs can injure the gastrointestinal mucosa and cause ulceration and hemorrhage, and both can affect renal function. Together they raise the risk of serious GI bleeding and kidney injury.

How serious is the interaction between Deferasirox and Ibuprofen?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining where possible; if unavoidable, monitor renal function and for GI bleeding, and consider gastroprotection. Choose a non-NSAID analgesic when possible.

What other medicines interact with Ibuprofen?

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

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

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