Drug interactions
Imatinib + Meloxicam
Severity: Moderate
Imatinib and Meloxicam: 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
Imatinib can cause thrombocytopenia and GI bleeding, and NSAIDs add to bleeding risk. Imatinib may also modestly inhibit CYP2C9, which could raise meloxicam concentrations.
What this interaction means in plain words
Imatinib and Meloxicam 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.
Imatinib belongs to Oncology; Meloxicam belongs to Musculoskeletal.
Why it happens
Additive bleeding risk from thrombocytopenia and NSAID platelet and mucosal effects, plus possible CYP2C9 inhibition by imatinib.
What to do
Monitor blood counts and for signs of GI bleeding; use the lowest effective meloxicam dose or choose paracetamol if possible.
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?
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Other interactions of Meloxicam
- Ketorolac intranasal + Meloxicam Contraindicated
- Ketorolac + Meloxicam Contraindicated
- Aceclofenac + Meloxicam Major
- Acemetacin + Meloxicam Major
- Acetylsalicylic acid + Meloxicam Major
- Alteplase + Meloxicam Major
Other interactions of Imatinib
- Imatinib + Lomitapide Contraindicated
- Imatinib + Lonafarnib Contraindicated
- Amobarbital + Imatinib Major
- Apalutamide + Imatinib Major
- Avapritinib + Imatinib Major
- Benzhydrocodone / acetaminophen + Imatinib Major
Frequently asked questions
Can I take Imatinib with Meloxicam?
MediHelp rates the interaction as moderate. Imatinib and Meloxicam 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. Imatinib can cause thrombocytopenia and GI bleeding, and NSAIDs add to bleeding risk. Imatinib may also modestly inhibit CYP2C9, which could raise meloxicam concentrations.
How serious is the interaction between Imatinib and Meloxicam?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood counts and for signs of GI bleeding; use the lowest effective meloxicam dose or choose paracetamol if possible.
What other medicines interact with Meloxicam?
MediHelp also lists interactions of Meloxicam with, for example, Ketorolac intranasal, Ketorolac, Aceclofenac. The full list is on the Meloxicam page.
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