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Drug interactions

Dexamethasone-neomycin-polymyxin + Lornoxicam

Severity: Moderate

Dexamethasone-neomycin-polymyxin and Lornoxicam: 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

Corticosteroids and NSAIDs together increase the risk of GI ulceration and bleeding. This matters mainly with systemic dexamethasone exposure.

What this interaction means in plain words

Dexamethasone-neomycin-polymyxin and Lornoxicam 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.

Dexamethasone-neomycin-polymyxin belongs to Anti Bacterial; Lornoxicam belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive mucosal injury from corticosteroids and NSAID inhibition of protective prostaglandins.

What to do

Use the lowest effective doses for the shortest duration and consider a proton pump inhibitor in at-risk patients.

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 Dexamethasone-neomycin-polymyxin with Lornoxicam?

MediHelp rates the interaction as moderate. Dexamethasone-neomycin-polymyxin and Lornoxicam 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. Corticosteroids and NSAIDs together increase the risk of GI ulceration and bleeding. This matters mainly with systemic dexamethasone exposure.

How serious is the interaction between Dexamethasone-neomycin-polymyxin and Lornoxicam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective doses for the shortest duration and consider a proton pump inhibitor in at-risk patients.

What other medicines interact with Dexamethasone-neomycin-polymyxin?

MediHelp also lists interactions of Dexamethasone-neomycin-polymyxin with, for example, Ketorolac, Lapatinib, Levofloxacin. The full list is on the Dexamethasone-neomycin-polymyxin page.

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