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Drug interactions

Nabumetone + Paroxetine

Severity: Moderate

Nabumetone and Paroxetine: 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

Paroxetine and NSAIDs each impair hemostasis, and together they substantially raise the risk of upper gastrointestinal bleeding.

What this interaction means in plain words

Nabumetone and Paroxetine 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.

Nabumetone belongs to Musculoskeletal; Paroxetine belongs to Central Nervous System.

Evidence level: High

Why it happens

SSRI-induced platelet serotonin depletion adds to NSAID platelet inhibition and gastric mucosal damage.

What to do

Consider a proton pump inhibitor for gastroprotection and monitor for signs of GI bleeding. Use the lowest effective NSAID dose or 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 Nabumetone with Paroxetine?

MediHelp rates the interaction as moderate. Nabumetone and Paroxetine 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. Paroxetine and NSAIDs each impair hemostasis, and together they substantially raise the risk of upper gastrointestinal bleeding.

How serious is the interaction between Nabumetone and Paroxetine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider a proton pump inhibitor for gastroprotection and monitor for signs of GI bleeding. Use the lowest effective NSAID dose or an alternative analgesic.

What other medicines interact with Nabumetone?

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

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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