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Drug interactions

Epoprostenol + Fenoprofen

Severity: Moderate

Epoprostenol and Fenoprofen: 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

Epoprostenol inhibits platelet aggregation, and NSAIDs also impair platelet function, so bleeding risk may increase. Patients on infusion therapy for pulmonary hypertension may be affected.

What this interaction means in plain words

Epoprostenol and Fenoprofen 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.

Epoprostenol belongs to Genitourinary; Fenoprofen belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive antiplatelet effect: prostacyclin-mediated inhibition plus cyclooxygenase inhibition.

What to do

Monitor for bleeding and bruising; prefer paracetamol for analgesia where appropriate.

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 Epoprostenol with Fenoprofen?

MediHelp rates the interaction as moderate. Epoprostenol and Fenoprofen 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. Epoprostenol inhibits platelet aggregation, and NSAIDs also impair platelet function, so bleeding risk may increase. Patients on infusion therapy for pulmonary hypertension may be affected.

How serious is the interaction between Epoprostenol and Fenoprofen?

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 for bleeding and bruising; prefer paracetamol for analgesia where appropriate.

What other medicines interact with Fenoprofen?

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

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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