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Drug interactions

Fenoprofen + Sparsentan

Severity: Major

Fenoprofen and Sparsentan: 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

Sparsentan lowers glomerular pressure through endothelin and angiotensin receptor blockade, and NSAIDs constrict afferent arterioles. Combined use can worsen kidney function, particularly in volume-depleted or older patients, and may blunt blood pressure control.

What this interaction means in plain words

Fenoprofen and Sparsentan 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.

Fenoprofen belongs to Musculoskeletal; Sparsentan belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Sparsentan blocks efferent arteriolar tone while NSAIDs inhibit prostaglandin-mediated afferent dilation, together sharply reducing glomerular filtration.

What to do

Avoid regular NSAID use in patients on sparsentan and choose an alternative analgesic such as paracetamol. If unavoidable, monitor serum creatinine, potassium and blood pressure closely.

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?

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 Sparsentan?

MediHelp rates the interaction as major. Fenoprofen and Sparsentan 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. Sparsentan lowers glomerular pressure through endothelin and angiotensin receptor blockade, and NSAIDs constrict afferent arterioles. Combined use can worsen kidney function, particularly in volume-depleted or older patients, and may blunt blood pressure control.

How serious is the interaction between Fenoprofen and Sparsentan?

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 regular NSAID use in patients on sparsentan and choose an alternative analgesic such as paracetamol. If unavoidable, monitor serum creatinine, potassium and blood pressure closely.

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.

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