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Drug interactions

Diflunisal + Indapamide

Severity: Moderate

Diflunisal and Indapamide: 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

NSAIDs can blunt the antihypertensive and diuretic effect of indapamide and, in volume-depleted patients, raise the risk of renal impairment.

What this interaction means in plain words

Diflunisal and Indapamide 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.

Diflunisal belongs to Musculoskeletal; Indapamide belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

NSAID inhibition of renal prostaglandins causes sodium and water retention and reduced renal perfusion.

What to do

Monitor blood pressure, renal function and electrolytes, and ensure adequate hydration. Adjust antihypertensive therapy if needed.

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 Diflunisal with Indapamide?

MediHelp rates the interaction as moderate. Diflunisal and Indapamide 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. NSAIDs can blunt the antihypertensive and diuretic effect of indapamide and, in volume-depleted patients, raise the risk of renal impairment.

How serious is the interaction between Diflunisal and Indapamide?

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 blood pressure, renal function and electrolytes, and ensure adequate hydration. Adjust antihypertensive therapy if needed.

What other medicines interact with Diflunisal?

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

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

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