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Drug interactions

Diflunisal + Paromomycin

Severity: Minor

Diflunisal and Paromomycin: 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

NSAIDs can reduce renal function and raise aminoglycoside levels, as seen in preterm infants. Oral paromomycin is minimally absorbed, so a systemic effect is unlikely in most patients.

What this interaction means in plain words

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

Diflunisal belongs to Musculoskeletal; Paromomycin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

NSAID-related reduction in renal function may reduce clearance of any absorbed aminoglycoside.

What to do

No action is usually required; monitor renal function in patients with renal impairment or inflamed bowel where absorption may increase.

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 Diflunisal with Paromomycin?

MediHelp rates the interaction as minor. Diflunisal and Paromomycin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. NSAIDs can reduce renal function and raise aminoglycoside levels, as seen in preterm infants. Oral paromomycin is minimally absorbed, so a systemic effect is unlikely in most patients.

How serious is the interaction between Diflunisal and Paromomycin?

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 action is usually required; monitor renal function in patients with renal impairment or inflamed bowel where absorption may increase.

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.

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