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Drug interactions

Etodolac + Mycophenolate

Severity: Moderate

Etodolac and Mycophenolate: 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

Etodolac and mycophenolic acid glucuronide are both organic anions, so competition for renal tubular secretion may increase exposure to either. NSAIDs can also reduce renal function and worsen gastrointestinal toxicity in transplant patients.

What this interaction means in plain words

Etodolac and Mycophenolate 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.

Evidence level: Low

Why it happens

Competition for renal tubular secretion of acidic drugs and metabolites, with NSAID-related renal and GI effects adding to toxicity.

What to do

Monitor renal function, blood counts and signs of mycophenolate toxicity such as GI upset and myelosuppression. Prefer an alternative analgesic like paracetamol where possible.

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 Mycophenolate?

MediHelp rates the interaction as moderate. Etodolac and Mycophenolate 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 and mycophenolic acid glucuronide are both organic anions, so competition for renal tubular secretion may increase exposure to either. NSAIDs can also reduce renal function and worsen gastrointestinal toxicity in transplant patients.

How serious is the interaction between Etodolac and Mycophenolate?

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 renal function, blood counts and signs of mycophenolate toxicity such as GI upset and myelosuppression. Prefer an alternative analgesic like paracetamol where possible.

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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