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Drug interactions

Dichlorphenamide + Ibuprofen

Severity: Moderate

Dichlorphenamide and Ibuprofen: 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

Dichlorphenamide is a carbonic anhydrase inhibitor that can cause metabolic acidosis, and NSAIDs can contribute to acid-base disturbance and renal impairment. Combined use may worsen acidosis and electrolyte disturbance.

What this interaction means in plain words

Dichlorphenamide and Ibuprofen 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.

Dichlorphenamide belongs to Miscellaneous; Ibuprofen belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Additive acid-base effects from carbonic anhydrase inhibition causing bicarbonate loss and NSAID-related reduction in renal function.

What to do

Monitor serum bicarbonate, potassium and renal function periodically during combined use. Reduce the dichlorphenamide dose or stop the NSAID if acidosis develops.

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 Dichlorphenamide with Ibuprofen?

MediHelp rates the interaction as moderate. Dichlorphenamide and Ibuprofen 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. Dichlorphenamide is a carbonic anhydrase inhibitor that can cause metabolic acidosis, and NSAIDs can contribute to acid-base disturbance and renal impairment. Combined use may worsen acidosis and electrolyte disturbance.

How serious is the interaction between Dichlorphenamide and Ibuprofen?

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 serum bicarbonate, potassium and renal function periodically during combined use. Reduce the dichlorphenamide dose or stop the NSAID if acidosis develops.

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.

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