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Drug interactions

Flurbiprofen + Telmisartan

Severity: Moderate

Flurbiprofen and Telmisartan: 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

Flurbiprofen can reduce the blood pressure lowering effect of telmisartan and raise the risk of acute kidney injury and hyperkalemia, particularly in elderly or volume-depleted patients.

What this interaction means in plain words

Flurbiprofen and Telmisartan 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; Telmisartan belongs to Cardiovascular.

Evidence level: High

Why it happens

NSAIDs constrict the afferent arteriole through prostaglandin inhibition while angiotensin receptor blockade dilates the efferent arteriole, reducing glomerular filtration; sodium retention opposes antihypertensive effect.

What to do

Maintain hydration and monitor serum creatinine, potassium and blood pressure after starting the NSAID. Avoid the combination in volume-depleted or significantly renally impaired patients.

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 Telmisartan?

MediHelp rates the interaction as moderate. Flurbiprofen and Telmisartan 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 can reduce the blood pressure lowering effect of telmisartan and raise the risk of acute kidney injury and hyperkalemia, particularly in elderly or volume-depleted patients.

How serious is the interaction between Flurbiprofen and Telmisartan?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Maintain hydration and monitor serum creatinine, potassium and blood pressure after starting the NSAID. Avoid the combination in volume-depleted or significantly renally impaired patients.

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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