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Drug interactions

Meclofenamate + Valsartan

Severity: Moderate

Meclofenamate and Valsartan: 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

Meclofenamate, an NSAID, can reduce the blood pressure lowering effect of valsartan and increase the risk of acute kidney injury and hyperkalemia. The risk is greatest in older patients, those who are volume depleted, and those with pre-existing renal disease.

What this interaction means in plain words

Meclofenamate and Valsartan 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

NSAID inhibition of renal prostaglandin synthesis reduces renal perfusion and sodium excretion, compounding ARB effects on glomerular filtration and potassium handling.

What to do

Monitor blood pressure, creatinine and potassium, and maintain hydration. Use the lowest effective NSAID dose for the shortest time or choose an alternative analgesic.

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 Valsartan?

MediHelp rates the interaction as moderate. Meclofenamate and Valsartan 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. Meclofenamate, an NSAID, can reduce the blood pressure lowering effect of valsartan and increase the risk of acute kidney injury and hyperkalemia. The risk is greatest in older patients, those who are volume depleted, and those with pre-existing renal disease.

How serious is the interaction between Meclofenamate and Valsartan?

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 blood pressure, creatinine and potassium, and maintain hydration. Use the lowest effective NSAID dose for the shortest time or choose an alternative analgesic.

What other medicines interact with Valsartan?

MediHelp also lists interactions of Valsartan with, for example, Aliskiren, Sparsentan, Aldesleukin. The full list is on the Valsartan page.

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