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Drug interactions

Fenoprofen + Fluvoxamine

Severity: Moderate

Fenoprofen 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 impairs platelet serotonin uptake and, together with an NSAID, raises the risk of upper GI bleeding. Fluvoxamine inhibits CYP2C9 and may also modestly increase NSAID exposure.

What this interaction means in plain words

Fenoprofen 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.

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

Evidence level: Moderate

Why it happens

Additive impairment of platelet aggregation and NSAID gastric mucosal injury, with possible CYP2C9 inhibition.

What to do

Consider gastroprotection with a proton pump inhibitor and use the lowest effective NSAID dose. Monitor for melena, hematemesis 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 Fenoprofen with Fluvoxamine?

MediHelp rates the interaction as moderate. Fenoprofen 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 impairs platelet serotonin uptake and, together with an NSAID, raises the risk of upper GI bleeding. Fluvoxamine inhibits CYP2C9 and may also modestly increase NSAID exposure.

How serious is the interaction between Fenoprofen 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: Consider gastroprotection with a proton pump inhibitor and use the lowest effective NSAID dose. Monitor for melena, hematemesis and anemia.

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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