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Drug interactions

Feverfew + Ketoprofen

Severity: Moderate

Feverfew and Ketoprofen: 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

Feverfew has antiplatelet activity in vitro and may add to the platelet inhibition and gastrointestinal bleeding risk of ketoprofen. Clinical evidence of actual bleeding is limited.

What this interaction means in plain words

Feverfew and Ketoprofen 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

Additive inhibition of platelet aggregation, with feverfew constituents reducing platelet secretion and prostaglandin synthesis.

What to do

Advise patients to report bruising, black stools or other bleeding, and consider stopping feverfew while taking NSAIDs, especially before surgery.

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 Feverfew with Ketoprofen?

MediHelp rates the interaction as moderate. Feverfew and Ketoprofen 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. Feverfew has antiplatelet activity in vitro and may add to the platelet inhibition and gastrointestinal bleeding risk of ketoprofen. Clinical evidence of actual bleeding is limited.

How serious is the interaction between Feverfew and Ketoprofen?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise patients to report bruising, black stools or other bleeding, and consider stopping feverfew while taking NSAIDs, especially before surgery.

What other medicines interact with Ketoprofen?

MediHelp also lists interactions of Ketoprofen with, for example, Ketorolac, Ketorolac intranasal, Aceclofenac. The full list is on the Ketoprofen page.

Full monographs, dosing and an interaction checker in the MediHelp app

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