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Drug interactions

Nabumetone + Ramipril

Severity: Moderate

Nabumetone and Ramipril: 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

Nabumetone may weaken the blood pressure lowering effect of ramipril. Together they can also reduce renal function in vulnerable patients and cause hyperkalemia.

What this interaction means in plain words

Nabumetone and Ramipril 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; Ramipril belongs to Cardiovascular.

Evidence level: High

Why it happens

NSAID inhibition of vasodilatory renal prostaglandins opposes ACE inhibitor effects and reduces glomerular perfusion.

What to do

Monitor blood pressure, serum creatinine and potassium, and keep the patient well hydrated. Use the lowest effective NSAID dose for the shortest time or choose a non-NSAID 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 Ramipril?

MediHelp rates the interaction as moderate. Nabumetone and Ramipril 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 may weaken the blood pressure lowering effect of ramipril. Together they can also reduce renal function in vulnerable patients and cause hyperkalemia.

How serious is the interaction between Nabumetone and Ramipril?

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, serum creatinine and potassium, and keep the patient well hydrated. Use the lowest effective NSAID dose for the shortest time or choose a non-NSAID 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.

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