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Drug interactions

Ketorolac + Vadadustat

Severity: Moderate

Ketorolac and Vadadustat: 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

Vadadustat is a substrate of OAT3, and inhibitors of this transporter can increase its exposure. Ketorolac may inhibit renal organic anion transport, potentially raising vadadustat levels and increasing hemoglobin response and adverse effects.

What this interaction means in plain words

Ketorolac and Vadadustat 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.

Ketorolac belongs to Musculoskeletal; Vadadustat belongs to Endocrine.

Evidence level: Low

Why it happens

Inhibition of OAT1/OAT3-mediated renal transport reduces vadadustat clearance.

What to do

Monitor hemoglobin and adjust vadadustat dose per labeling if the rise is too rapid. Watch for hypertension and thrombotic events.

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 Ketorolac with Vadadustat?

MediHelp rates the interaction as moderate. Ketorolac and Vadadustat 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. Vadadustat is a substrate of OAT3, and inhibitors of this transporter can increase its exposure. Ketorolac may inhibit renal organic anion transport, potentially raising vadadustat levels and increasing hemoglobin response and adverse effects.

How serious is the interaction between Ketorolac and Vadadustat?

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 hemoglobin and adjust vadadustat dose per labeling if the rise is too rapid. Watch for hypertension and thrombotic events.

What other medicines interact with Ketorolac?

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

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

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