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Interações medicamentosas

Diflunisal + Ketorolac intranasal

Gravidade: Contraindicada

Diflunisal and Ketorolac intranasal: contraindicated interaction.

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Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

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Resumo

Ketorolac labeling contraindicates concurrent NSAIDs, including aspirin-type salicylates such as diflunisal. The combination adds gastrointestinal bleeding, ulcer and renal injury risk without added analgesic benefit.

O que esta interação significa em palavras simples

Diflunisal 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.

Nível de evidência: High

Por que acontece

Additive cyclooxygenase inhibition causing GI mucosal injury, platelet inhibition and reduced renal prostaglandins.

O que fazer

Do not use together. Use a single NSAID at a time and allow washout before switching.

O que perguntar ao farmacêutico

  • 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?

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Perguntas frequentes

Can I take Diflunisal with Ketorolac intranasal?

MediHelp rates the interaction as contraindicated. Diflunisal 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. Ketorolac labeling contraindicates concurrent NSAIDs, including aspirin-type salicylates such as diflunisal. The combination adds gastrointestinal bleeding, ulcer and renal injury risk without added analgesic benefit.

How serious is the interaction between Diflunisal 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: Do not use together. Use a single NSAID at a time and allow washout before switching.

What other medicines interact with Diflunisal?

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

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