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Drug interactions

Emtricitabine + Indomethacin

Severity: Moderate

Emtricitabine and Indomethacin: 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

Emtricitabine is eliminated by glomerular filtration and active tubular secretion, and NSAIDs can reduce renal function. High-dose or prolonged NSAID use may raise emtricitabine exposure and add to renal risk, especially alongside tenofovir.

What this interaction means in plain words

Emtricitabine and Indomethacin 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.

Emtricitabine belongs to Anti Virals; Indomethacin belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Competition for renal tubular secretion and NSAID-induced reduction of renal perfusion may decrease emtricitabine clearance.

What to do

Prefer a non-NSAID analgesic such as paracetamol; if an NSAID is needed, use the lowest dose briefly and monitor serum creatinine.

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 Emtricitabine with Indomethacin?

MediHelp rates the interaction as moderate. Emtricitabine and Indomethacin 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. Emtricitabine is eliminated by glomerular filtration and active tubular secretion, and NSAIDs can reduce renal function. High-dose or prolonged NSAID use may raise emtricitabine exposure and add to renal risk, especially alongside tenofovir.

How serious is the interaction between Emtricitabine and Indomethacin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer a non-NSAID analgesic such as paracetamol; if an NSAID is needed, use the lowest dose briefly and monitor serum creatinine.

What other medicines interact with Indomethacin?

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

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