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Interactions médicamenteuses

Celecoxib + Ketorolac intranasal

Gravité: Contre-indiquée

Celecoxib and Ketorolac intranasal: contraindicated interaction.

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Résumé

Celecoxib with intranasal ketorolac duplicates NSAID therapy; although celecoxib is COX-2 selective, the combination still adds renal and cardiovascular risk and the ketorolac gastrointestinal and bleeding risk remains. Ketorolac labeling prohibits concomitant NSAIDs.

Ce que signifie cette interaction, en termes simples

Celecoxib and Ketorolac intranasal are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Niveau de preuve: High

Pourquoi elle survient

Additive cyclooxygenase inhibition producing additive renal, cardiovascular and gastrointestinal toxicity.

Conduite à tenir

Avoid the combination; use only one NSAID. Use a non-NSAID analgesic for added effect.

Questions à poser à votre pharmacien

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Questions fréquentes

Can I take Celecoxib with Ketorolac intranasal?

MediHelp rates the interaction as contraindicated. Celecoxib and Ketorolac intranasal are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Celecoxib with intranasal ketorolac duplicates NSAID therapy; although celecoxib is COX-2 selective, the combination still adds renal and cardiovascular risk and the ketorolac gastrointestinal and bleeding risk remains. Ketorolac labeling prohibits concomitant NSAIDs.

How serious is the interaction between Celecoxib and Ketorolac intranasal?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination; use only one NSAID. Use a non-NSAID analgesic for added effect.

What other medicines interact with Celecoxib?

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

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Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

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