Drug interactions
Etodolac + Gentamicin
Severity: Major
Etodolac and Gentamicin: major 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 reduce renal clearance of aminoglycosides, raising gentamicin levels, and both drugs are nephrotoxic. This increases the risk of acute kidney injury and aminoglycoside toxicity including ototoxicity.
What this interaction means in plain words
Etodolac and Gentamicin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Etodolac belongs to Musculoskeletal; Gentamicin belongs to Anti Bacterial.
Why it happens
NSAID inhibition of renal prostaglandins lowers glomerular filtration, reducing gentamicin elimination, with additive nephrotoxicity.
What to do
Avoid concurrent use when possible. If unavoidable, monitor serum creatinine and gentamicin trough levels and adjust the dose.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Etodolac
- Etodolac + Ketorolac Contraindicated
- Etodolac + Ketorolac intranasal Contraindicated
- Aceclofenac + Etodolac Major
- Acemetacin + Etodolac Major
- Acetylsalicylic acid + Etodolac Major
- Alteplase + Etodolac Major
Other interactions of Gentamicin
- Cidofovir + Gentamicin Contraindicated
- Adefovir + Gentamicin Major
- Amikacin + Gentamicin Major
- Amlodipine-hydrochlorothiazide-valsartan + Gentamicin Major
- Amphotericin b deoxycholate + Gentamicin Major
- Amphotericin b + Gentamicin Major
Frequently asked questions
Can I take Etodolac with Gentamicin?
MediHelp rates the interaction as major. Etodolac and Gentamicin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. NSAIDs can reduce renal clearance of aminoglycosides, raising gentamicin levels, and both drugs are nephrotoxic. This increases the risk of acute kidney injury and aminoglycoside toxicity including ototoxicity.
How serious is the interaction between Etodolac and Gentamicin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use when possible. If unavoidable, monitor serum creatinine and gentamicin trough levels and adjust the dose.
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.
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