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Drug interactions

Drospirenone + Ketoprofen

Severity: Moderate

Drospirenone and Ketoprofen: 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

Drospirenone has antimineralocorticoid activity and can raise potassium, and NSAIDs can add to this by reducing renal potassium excretion. Risk is mainly in patients with renal, hepatic or adrenal impairment, or on other potassium-raising drugs.

What this interaction means in plain words

Drospirenone and Ketoprofen 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.

Drospirenone belongs to Endocrine; Ketoprofen belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive hyperkalemic effect from aldosterone antagonism by drospirenone and NSAID suppression of renin-aldosterone and renal prostaglandins.

What to do

In long-term NSAID users, check serum potassium during the first treatment cycle; avoid in renal impairment.

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 Drospirenone with Ketoprofen?

MediHelp rates the interaction as moderate. Drospirenone and Ketoprofen 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. Drospirenone has antimineralocorticoid activity and can raise potassium, and NSAIDs can add to this by reducing renal potassium excretion. Risk is mainly in patients with renal, hepatic or adrenal impairment, or on other potassium-raising drugs.

How serious is the interaction between Drospirenone and Ketoprofen?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: In long-term NSAID users, check serum potassium during the first treatment cycle; avoid in renal impairment.

What other medicines interact with Ketoprofen?

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

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

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