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Drug interactions

Ketoprofen + Telmisartan-amlodipine

Severity: Moderate

Ketoprofen and Telmisartan-amlodipine: 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

Ketoprofen can reduce the antihypertensive effect of telmisartan and, together with an angiotensin receptor blocker, may worsen kidney function, especially in older or volume-depleted patients. Hyperkalemia can also occur.

What this interaction means in plain words

Ketoprofen and Telmisartan-amlodipine 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; Telmisartan-amlodipine belongs to Cardiovascular.

Evidence level: High

Why it happens

NSAID inhibition of renal prostaglandin synthesis reduces renal blood flow and sodium excretion, which compounds angiotensin II receptor blockade effects on glomerular filtration and potassium handling.

What to do

Use the lowest effective NSAID dose for the shortest time and keep the patient well hydrated. Monitor blood pressure, creatinine and potassium.

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 Telmisartan-amlodipine?

MediHelp rates the interaction as moderate. Ketoprofen and Telmisartan-amlodipine 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 can reduce the antihypertensive effect of telmisartan and, together with an angiotensin receptor blocker, may worsen kidney function, especially in older or volume-depleted patients. Hyperkalemia can also occur.

How serious is the interaction between Ketoprofen and Telmisartan-amlodipine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective NSAID dose for the shortest time and keep the patient well hydrated. Monitor blood pressure, creatinine and potassium.

What other medicines interact with Telmisartan-amlodipine?

MediHelp also lists interactions of Telmisartan-amlodipine with, for example, Aliskiren, Sparsentan, Amifostine. The full list is on the Telmisartan-amlodipine page.

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