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Drug interactions

Diclofenac + Peginterferon alfa 2b

Severity: Minor

Diclofenac and Peginterferon alfa 2b: minor 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

Peginterferon alfa-2b may alter the metabolism of drugs cleared by CYP enzymes, and diclofenac is a CYP2C9 substrate. The clinical effect on diclofenac exposure is not well characterized and is probably small.

What this interaction means in plain words

Diclofenac and Peginterferon alfa 2b have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Diclofenac belongs to Musculoskeletal; Peginterferon alfa 2b belongs to Anti Virals.

Evidence level: Low

Why it happens

Interferons can downregulate some hepatic CYP activity, but the effect on CYP2C9 is uncertain and not firmly established.

What to do

No routine dose change is needed; monitor for altered analgesic response or diclofenac adverse effects during interferon therapy.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Diclofenac with Peginterferon alfa 2b?

MediHelp rates the interaction as minor. Diclofenac and Peginterferon alfa 2b have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Peginterferon alfa-2b may alter the metabolism of drugs cleared by CYP enzymes, and diclofenac is a CYP2C9 substrate. The clinical effect on diclofenac exposure is not well characterized and is probably small.

How serious is the interaction between Diclofenac and Peginterferon alfa 2b?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine dose change is needed; monitor for altered analgesic response or diclofenac adverse effects during interferon therapy.

What other medicines interact with Diclofenac?

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

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