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Drug interactions

Meclofenamate + Methylprednisolone

Severity: Moderate

Meclofenamate 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 systemic corticosteroid with an NSAID increases the risk of gastric irritation, ulceration and gastrointestinal bleeding. The risk is higher in older patients, with high steroid doses and with longer duration.

What this interaction means in plain words

Meclofenamate 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.

Evidence level: High

Why it happens

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

What to do

Use the lowest effective doses for the shortest time and consider a proton pump inhibitor for gastroprotection; counsel patients to report black stools or abdominal pain.

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 Meclofenamate with Methylprednisolone?

MediHelp rates the interaction as moderate. Meclofenamate 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 systemic corticosteroid with an NSAID increases the risk of gastric irritation, ulceration and gastrointestinal bleeding. The risk is higher in older patients, with high steroid doses and with longer duration.

How serious is the interaction between Meclofenamate 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: Use the lowest effective doses for the shortest time and consider a proton pump inhibitor for gastroprotection; counsel patients to report black stools or abdominal pain.

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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