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Drug interactions

Meclofenamate + Venlafaxine

Severity: Moderate

Meclofenamate and Venlafaxine: 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

Venlafaxine depletes platelet serotonin and impairs platelet aggregation, while meclofenamate, an NSAID, inhibits platelet function and damages gastric mucosa. Together the risk of gastrointestinal and other bleeding is increased.

What this interaction means in plain words

Meclofenamate and Venlafaxine 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: Moderate

Why it happens

Additive impairment of platelet function by serotonin reuptake inhibition and COX inhibition, plus NSAID mucosal injury.

What to do

Avoid prolonged combined use where possible and consider gastroprotection with a proton pump inhibitor in high-risk patients. Monitor for melena, hematemesis and anemia.

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 Venlafaxine?

MediHelp rates the interaction as moderate. Meclofenamate and Venlafaxine 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. Venlafaxine depletes platelet serotonin and impairs platelet aggregation, while meclofenamate, an NSAID, inhibits platelet function and damages gastric mucosa. Together the risk of gastrointestinal and other bleeding is increased.

How serious is the interaction between Meclofenamate and Venlafaxine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid prolonged combined use where possible and consider gastroprotection with a proton pump inhibitor in high-risk patients. Monitor for melena, hematemesis and anemia.

What other medicines interact with Venlafaxine?

MediHelp also lists interactions of Venlafaxine with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Venlafaxine page.

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