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Drug interactions

Ketorolac intranasal + Nabumetone

Severity: Contraindicated

Ketorolac intranasal and Nabumetone: contraindicated 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 nabumetone with intranasal ketorolac duplicates NSAID therapy and increases the risk of gastrointestinal ulceration and bleeding, renal injury and cardiovascular events. Ketorolac labeling prohibits concurrent NSAID use.

What this interaction means in plain words

Ketorolac intranasal and Nabumetone are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Evidence level: High

Why it happens

Additive cyclooxygenase inhibition producing additive gastrointestinal, renal, platelet and cardiovascular toxicity.

What to do

Do not co-administer; select one NSAID only. Consider non-NSAID analgesics for additional relief.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 intranasal with Nabumetone?

MediHelp rates the interaction as contraindicated. Ketorolac intranasal and Nabumetone are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Taking nabumetone with intranasal ketorolac duplicates NSAID therapy and increases the risk of gastrointestinal ulceration and bleeding, renal injury and cardiovascular events. Ketorolac labeling prohibits concurrent NSAID use.

How serious is the interaction between Ketorolac intranasal and Nabumetone?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not co-administer; select one NSAID only. Consider non-NSAID analgesics for additional relief.

What other medicines interact with Nabumetone?

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

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