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Drug interactions

Nateglinide + Parecoxib

Severity: Minor

Nateglinide and Parecoxib: minor 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

Both nateglinide and parecoxib's active metabolite valdecoxib involve CYP2C9, but nateglinide is not a clinically meaningful inhibitor of this enzyme. No relevant change in parecoxib exposure is expected.

What this interaction means in plain words

Nateglinide and Parecoxib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Theoretical competition for CYP2C9; no established clinically relevant inhibition by nateglinide.

What to do

No specific action is required beyond routine monitoring.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Nateglinide with Parecoxib?

MediHelp rates the interaction as minor. Nateglinide and Parecoxib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Both nateglinide and parecoxib's active metabolite valdecoxib involve CYP2C9, but nateglinide is not a clinically meaningful inhibitor of this enzyme. No relevant change in parecoxib exposure is expected.

How serious is the interaction between Nateglinide and Parecoxib?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No specific action is required beyond routine monitoring.

What other medicines interact with Nateglinide?

MediHelp also lists interactions of Nateglinide with, for example, Albiglutide, Alogliptin-metformin, Alogliptin-pioglitazone. The full list is on the Nateglinide page.

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