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Drug interactions

Imidapril + Meclofenamic acid

Severity: Moderate

Imidapril and Meclofenamic acid: 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

NSAIDs can blunt the blood pressure lowering effect of ACE inhibitors and, together, may impair renal function, particularly in elderly, dehydrated or renally impaired patients. Hyperkalemia may also occur.

What this interaction means in plain words

Imidapril and Meclofenamic acid 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.

Imidapril belongs to Cardiovascular; Meclofenamic acid belongs to Musculoskeletal.

Evidence level: High

Why it happens

NSAID inhibition of vasodilatory prostaglandins reduces ACE inhibitor antihypertensive effect and lowers glomerular filtration.

What to do

Monitor blood pressure, serum creatinine and potassium, and keep patients hydrated. Use the lowest effective NSAID dose for the shortest duration or choose an alternative analgesic.

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 Imidapril with Meclofenamic acid?

MediHelp rates the interaction as moderate. Imidapril and Meclofenamic acid 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. NSAIDs can blunt the blood pressure lowering effect of ACE inhibitors and, together, may impair renal function, particularly in elderly, dehydrated or renally impaired patients. Hyperkalemia may also occur.

How serious is the interaction between Imidapril and Meclofenamic acid?

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 pressure, serum creatinine and potassium, and keep patients hydrated. Use the lowest effective NSAID dose for the shortest duration or choose an alternative analgesic.

What other medicines interact with Meclofenamic acid?

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

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