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Drug interactions

Digoxin + Etodolac

Severity: Moderate

Digoxin and Etodolac: 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 impair renal function and may raise digoxin concentrations, potentially leading to digoxin toxicity. Heart failure may also be exacerbated by fluid retention.

What this interaction means in plain words

Digoxin and Etodolac 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.

Digoxin belongs to Cardiovascular; Etodolac belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Reduced renal prostaglandin-dependent perfusion lowers digoxin renal clearance, increasing serum levels.

What to do

Monitor serum digoxin concentration, renal function and potassium when etodolac is started or changed. Reduce the digoxin dose if levels rise.

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 Digoxin with Etodolac?

MediHelp rates the interaction as moderate. Digoxin and Etodolac 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 impair renal function and may raise digoxin concentrations, potentially leading to digoxin toxicity. Heart failure may also be exacerbated by fluid retention.

How serious is the interaction between Digoxin and Etodolac?

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 digoxin concentration, renal function and potassium when etodolac is started or changed. Reduce the digoxin dose if levels rise.

What other medicines interact with Etodolac?

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

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

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