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Drug interactions

Ketoprofen + Methylprednisolone

Severity: Moderate

Ketoprofen and Methylprednisolone: 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

Combining a corticosteroid with an NSAID increases the likelihood of peptic ulcers and gastrointestinal bleeding compared with either agent alone. The risk rises with age, dose and duration of therapy.

What this interaction means in plain words

Ketoprofen and Methylprednisolone 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.

Ketoprofen belongs to Musculoskeletal; Methylprednisolone belongs to Endocrine.

Evidence level: High

Why it happens

Additive gastrointestinal mucosal injury: NSAID-related prostaglandin inhibition combined with corticosteroid impairment of mucosal healing.

What to do

Limit the dose and duration of both drugs, and consider gastroprotection with a proton pump inhibitor in at-risk patients. Monitor for gastrointestinal bleeding.

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 Ketoprofen with Methylprednisolone?

MediHelp rates the interaction as moderate. Ketoprofen and Methylprednisolone 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. Combining a corticosteroid with an NSAID increases the likelihood of peptic ulcers and gastrointestinal bleeding compared with either agent alone. The risk rises with age, dose and duration of therapy.

How serious is the interaction between Ketoprofen and Methylprednisolone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit the dose and duration of both drugs, and consider gastroprotection with a proton pump inhibitor in at-risk patients. Monitor for gastrointestinal bleeding.

What other medicines interact with Methylprednisolone?

MediHelp also lists interactions of Methylprednisolone with, for example, Bcg vaccine live, Measles mumps and rubella vaccine live, Measles mumps rubella and varicella vaccine live. The full list is on the Methylprednisolone page.

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