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Drug interactions

Diclofenac + Teriflunomide

Severity: Minor

Diclofenac and Teriflunomide: 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

Teriflunomide may raise diclofenac exposure modestly, though this is not well characterized. Both drugs can affect the liver, so additive hepatic stress is possible.

What this interaction means in plain words

Diclofenac and Teriflunomide 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; Teriflunomide belongs to Central Nervous System.

Evidence level: Low

Why it happens

Teriflunomide inhibits CYP2C8, which contributes a minor pathway to diclofenac hydroxylation; CYP2C9 is the main route.

What to do

No dose change is routinely needed; monitor liver enzymes and for diclofenac adverse effects.

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 Teriflunomide?

MediHelp rates the interaction as minor. Diclofenac and Teriflunomide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Teriflunomide may raise diclofenac exposure modestly, though this is not well characterized. Both drugs can affect the liver, so additive hepatic stress is possible.

How serious is the interaction between Diclofenac and Teriflunomide?

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 dose change is routinely needed; monitor liver enzymes and for diclofenac adverse effects.

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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