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Drug interactions

Fenoprofen + Hydrocortisone

Severity: Moderate

Fenoprofen and Hydrocortisone: 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

Concurrent corticosteroid and NSAID use increases the likelihood of peptic ulceration and gastrointestinal bleeding. The risk is higher with higher doses, longer duration, older age, or a history of ulcer disease.

What this interaction means in plain words

Fenoprofen and Hydrocortisone 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; Hydrocortisone belongs to Endocrine.

Evidence level: High

Why it happens

Additive gastrointestinal mucosal injury from prostaglandin inhibition by the NSAID and impaired mucosal repair from the corticosteroid.

What to do

Limit dose and duration of both agents and add gastroprotection with a proton pump inhibitor in high-risk patients. Monitor for signs of GI bleeding.

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 Hydrocortisone?

MediHelp rates the interaction as moderate. Fenoprofen and Hydrocortisone 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. Concurrent corticosteroid and NSAID use increases the likelihood of peptic ulceration and gastrointestinal bleeding. The risk is higher with higher doses, longer duration, older age, or a history of ulcer disease.

How serious is the interaction between Fenoprofen and Hydrocortisone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit dose and duration of both agents and add gastroprotection with a proton pump inhibitor in high-risk patients. Monitor for signs of GI bleeding.

What other medicines interact with Hydrocortisone?

MediHelp also lists interactions of Hydrocortisone with, for example, Mifepristone, Poliovirus vaccine live oral trivalent, Smallpox vaccine live. The full list is on the Hydrocortisone page.

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