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Drug interactions

Etodolac + Fluvoxamine

Severity: Moderate

Etodolac and Fluvoxamine: 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

Fluvoxamine together with etodolac raises the risk of gastrointestinal and other bleeding beyond that of either drug alone. Risk is higher in older adults and those with ulcer history.

What this interaction means in plain words

Etodolac and Fluvoxamine 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.

Etodolac belongs to Musculoskeletal; Fluvoxamine belongs to Central Nervous System.

Evidence level: High

Why it happens

SSRI-induced platelet serotonin depletion adds to NSAID platelet inhibition and mucosal injury.

What to do

Prefer a non-NSAID analgesic such as paracetamol where possible, or add a proton pump inhibitor if the combination is needed. Monitor for signs of bleeding and anemia.

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 Etodolac with Fluvoxamine?

MediHelp rates the interaction as moderate. Etodolac and Fluvoxamine 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. Fluvoxamine together with etodolac raises the risk of gastrointestinal and other bleeding beyond that of either drug alone. Risk is higher in older adults and those with ulcer history.

How serious is the interaction between Etodolac and Fluvoxamine?

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 where possible, or add a proton pump inhibitor if the combination is needed. Monitor for signs of bleeding and anemia.

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

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

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