Drug interactions
Meclofenamate + Pralatrexate
Severity: Moderate
Meclofenamate 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 can delay elimination of pralatrexate, raising systemic exposure and the risk of mucositis and myelosuppression.
What this interaction means in plain words
Meclofenamate 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.
Why it happens
Reduced renal tubular secretion and renal perfusion decrease pralatrexate clearance.
What to do
Prefer a non-NSAID analgesic. If co-administered, monitor renal function, mucositis and blood counts and adjust the pralatrexate dose if toxicity develops.
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?
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Other interactions of Pralatrexate
Frequently asked questions
Can I take Meclofenamate with Pralatrexate?
MediHelp rates the interaction as moderate. Meclofenamate 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 can delay elimination of pralatrexate, raising systemic exposure and the risk of mucositis and myelosuppression.
How serious is the interaction between Meclofenamate 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: Prefer a non-NSAID analgesic. If co-administered, monitor renal function, mucositis and blood counts and adjust the pralatrexate dose if toxicity develops.
What other medicines interact with Pralatrexate?
MediHelp also lists interactions of Pralatrexate with, for example, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel, Brexucabtagene autoleucel. The full list is on the Pralatrexate page.
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