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Drug interactions

Ketoprofen + Pralatrexate

Severity: Moderate

Ketoprofen and Pralatrexate: 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 may reduce pralatrexate elimination and raise its exposure, increasing the risk of mucositis, myelosuppression and other toxicities. The risk is greater with impaired renal function.

What this interaction means in plain words

Ketoprofen and Pralatrexate 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; Pralatrexate belongs to Oncology.

Evidence level: Moderate

Why it happens

Reduced renal clearance through competition for tubular secretion and NSAID-related lowering of renal blood flow.

What to do

Monitor for mucositis and blood count changes and check renal function; adjust the pralatrexate dose if toxicity develops. Avoid NSAIDs in patients with renal impairment.

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 Pralatrexate?

MediHelp rates the interaction as moderate. Ketoprofen and Pralatrexate 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 may reduce pralatrexate elimination and raise its exposure, increasing the risk of mucositis, myelosuppression and other toxicities. The risk is greater with impaired renal function.

How serious is the interaction between Ketoprofen and Pralatrexate?

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 for mucositis and blood count changes and check renal function; adjust the pralatrexate dose if toxicity develops. Avoid NSAIDs in patients with renal impairment.

What other medicines interact with Ketoprofen?

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

Full monographs, dosing and an interaction checker in the MediHelp app

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