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Drug interactions

Nabumetone + Willow bark

Severity: Moderate

Nabumetone and Willow bark: 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

Willow bark contains salicin, which is converted to salicylate, so combining it with an NSAID duplicates salicylate-type therapy. This may add to gastrointestinal irritation, bleeding risk and renal effects.

What this interaction means in plain words

Nabumetone and Willow bark 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: Low

Why it happens

Additive pharmacodynamic effects on cyclooxygenase inhibition and platelet function, with possible competition for renal tubular secretion.

What to do

Avoid routine concurrent use of willow bark with nabumetone. If both are taken, watch for GI bleeding symptoms and check renal function.

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 Willow bark?

MediHelp rates the interaction as moderate. Nabumetone and Willow bark 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. Willow bark contains salicin, which is converted to salicylate, so combining it with an NSAID duplicates salicylate-type therapy. This may add to gastrointestinal irritation, bleeding risk and renal effects.

How serious is the interaction between Nabumetone and Willow bark?

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 routine concurrent use of willow bark with nabumetone. If both are taken, watch for GI bleeding symptoms and check renal function.

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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