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Drug interactions

Flurbiprofen + Fluvoxamine

Severity: Moderate

Flurbiprofen 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 combined with an NSAID this increases the risk of GI bleeding. Fluvoxamine also inhibits CYP2C9 and may raise flurbiprofen levels.

What this interaction means in plain words

Flurbiprofen 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.

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

Evidence level: Moderate

Why it happens

Additive platelet dysfunction with NSAID mucosal injury, plus fluvoxamine inhibition of CYP2C9.

What to do

Consider gastroprotection in at-risk patients and use the lowest effective flurbiprofen dose. Monitor for bleeding and NSAID adverse effects.

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 Flurbiprofen with Fluvoxamine?

MediHelp rates the interaction as moderate. Flurbiprofen 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 combined with an NSAID this increases the risk of GI bleeding. Fluvoxamine also inhibits CYP2C9 and may raise flurbiprofen levels.

How serious is the interaction between Flurbiprofen 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 in at-risk patients and use the lowest effective flurbiprofen dose. Monitor for bleeding and NSAID adverse effects.

What other medicines interact with Flurbiprofen?

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

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

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