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Drug interactions

Etodolac + Vancomycin

Severity: Moderate

Etodolac and Vancomycin: 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

NSAIDs may reduce renal clearance of vancomycin, with increased levels described mainly in neonates. Both can affect kidney function, so combined use may raise nephrotoxicity risk.

What this interaction means in plain words

Etodolac and Vancomycin 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; Vancomycin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

NSAID inhibition of renal prostaglandins reduces glomerular filtration and vancomycin excretion.

What to do

Monitor vancomycin levels and serum creatinine, particularly in neonates and patients with renal impairment. Adjust the vancomycin dose according to levels.

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 Vancomycin?

MediHelp rates the interaction as moderate. Etodolac and Vancomycin 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. NSAIDs may reduce renal clearance of vancomycin, with increased levels described mainly in neonates. Both can affect kidney function, so combined use may raise nephrotoxicity risk.

How serious is the interaction between Etodolac and Vancomycin?

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 vancomycin levels and serum creatinine, particularly in neonates and patients with renal impairment. Adjust the vancomycin dose according to levels.

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

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