Drug interactions
Ketoprofen + Meclofenamic acid
Severity: Major
Ketoprofen and Meclofenamic acid: major 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
Taking two NSAIDs together adds no therapeutic benefit and increases the risk of gastrointestinal ulceration and bleeding, kidney injury and cardiovascular events. Platelet inhibition is additive as well.
What this interaction means in plain words
Ketoprofen and Meclofenamic acid can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Ketoprofen belongs to Musculoskeletal; Meclofenamic acid belongs to Musculoskeletal.
Why it happens
Duplicate cyclooxygenase inhibition causes additive loss of protective prostaglandins in the gastric mucosa and kidney and additive platelet dysfunction.
What to do
Avoid concurrent use of two systemic NSAIDs and choose a single agent at the lowest effective dose. If a switch is made, stop the first NSAID before starting the second.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Meclofenamic acid
- Ketorolac intranasal + Meclofenamic acid Contraindicated
- Ketorolac + Meclofenamic acid Contraindicated
- Aceclofenac + Meclofenamic acid Major
- Acemetacin + Meclofenamic acid Major
- Alteplase + Meclofenamic acid Major
- Amiloride + Meclofenamic acid Major
Other interactions of Ketoprofen
- Ketoprofen + Ketorolac Contraindicated
- Ketoprofen + Ketorolac intranasal Contraindicated
- Aceclofenac + Ketoprofen Major
- Acemetacin + Ketoprofen Major
- Acetylsalicylic acid + Ketoprofen Major
- Alteplase + Ketoprofen Major
Frequently asked questions
Can I take Ketoprofen with Meclofenamic acid?
MediHelp rates the interaction as major. Ketoprofen and Meclofenamic acid can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Taking two NSAIDs together adds no therapeutic benefit and increases the risk of gastrointestinal ulceration and bleeding, kidney injury and cardiovascular events. Platelet inhibition is additive as well.
How serious is the interaction between Ketoprofen and Meclofenamic acid?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use of two systemic NSAIDs and choose a single agent at the lowest effective dose. If a switch is made, stop the first NSAID before starting the second.
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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