Caldolor, NeoProfen (ibuprofen IV) dosing, indications, interactions, adverse effects, and more (2023)

  • acebutolol

    ibuprofen IV decreases effects of acebutolol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.acebutolol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • aceclofenac

    aceclofenac and ibuprofen IV both increase anticoagulation. Use Caution/Monitor.aceclofenac and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • acemetacin

    acemetacin and ibuprofen IV both increase anticoagulation. Use Caution/Monitor.

  • agrimony

    ibuprofen IV and agrimony both increase anticoagulation. Use Caution/Monitor.

  • albuterol

    ibuprofen IV increases and albuterol decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • alfalfa

    ibuprofen IV and alfalfa both increase anticoagulation. Use Caution/Monitor.

  • alfuzosin

    ibuprofen IV decreases effects of alfuzosin by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs decrease prostaglandin synthesis.

  • aliskiren

    ibuprofen IV will decrease the level or effect of aliskiren by Other (see comment). Use Caution/Monitor. In patients who are elderly, volume-depleted (including those on diuretic therapy), or with compromised renal function, coadministration of NSAIDs with drugs that affect RAAS may increase the risk of renal impairment (including acute renal failure) and cause loss of antihypertensive effect. Monitor renal function periodically.

  • alteplase

    ibuprofen IV and alteplase both increase anticoagulation. Use Caution/Monitor. Potential for increased risk of bleeding, caution is advised.

  • American ginseng

    ibuprofen IV and American ginseng both increase anticoagulation. Use Caution/Monitor.

  • amikacin

    ibuprofen IV increases levels of amikacin by decreasing renal clearance. Use Caution/Monitor. Interaction mainly occurs in preterm infants.

  • amiloride

    amiloride and ibuprofen IV both increase serum potassium. Modify Therapy/Monitor Closely.

  • antithrombin alfa

    antithrombin alfa and ibuprofen IV both increase anticoagulation. Modify Therapy/Monitor Closely.

  • antithrombin III

    antithrombin III and ibuprofen IV both increase anticoagulation. Modify Therapy/Monitor Closely.

  • arformoterol

    ibuprofen IV increases and arformoterol decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • argatroban

    argatroban and ibuprofen IV both increase anticoagulation. Modify Therapy/Monitor Closely.

  • asenapine

    ibuprofen IV decreases effects of asenapine by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs decrease prostaglandin synthesis.

  • aspirin

    aspirin will increase the level or effect of ibuprofen IV by acidic (anionic) drug competition for renal tubular clearance. Modify Therapy/Monitor Closely.aspirin and ibuprofen IV both increase anticoagulation. Modify Therapy/Monitor Closely.aspirin and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • aspirin rectal

    aspirin rectal will increase the level or effect of ibuprofen IV by acidic (anionic) drug competition for renal tubular clearance. Modify Therapy/Monitor Closely.aspirin rectal and ibuprofen IV both increase anticoagulation. Modify Therapy/Monitor Closely.aspirin rectal and ibuprofen IV both increase serum potassium. Modify Therapy/Monitor Closely.

  • aspirin/citric acid/sodium bicarbonate

    aspirin/citric acid/sodium bicarbonate will increase the level or effect of ibuprofen IV by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.aspirin/citric acid/sodium bicarbonate and ibuprofen IV both increase anticoagulation. Use Caution/Monitor.aspirin/citric acid/sodium bicarbonate and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • atenolol

    ibuprofen IV decreases effects of atenolol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.atenolol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • azficel-T

    azficel-T, ibuprofen IV. Other (see comment). Use Caution/Monitor. Comment: Patients taking NSAIDS may experience increased bruising or bleeding at biopsy and/or injection sites. Concomitant use of NSAIDs is not recommended.

  • azilsartan

    ibuprofen IV, azilsartan.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.ibuprofen IV decreases effects of azilsartan by pharmacodynamic antagonism. Modify Therapy/Monitor Closely. NSAIDs decrease synthesis of vasodilating renal prostaglandins, and thus affect fluid homeostasis and may diminish antihypertensive effect.

  • benazepril

    benazepril, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • bendroflumethiazide

    ibuprofen IV increases and bendroflumethiazide decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.bendroflumethiazide will increase the level or effect of ibuprofen IV by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.

  • betaxolol

    ibuprofen IV decreases effects of betaxolol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.betaxolol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • betrixaban

    ibuprofen IV, betrixaban.Either increases levels of the other by anticoagulation. Use Caution/Monitor.

  • bimatoprost

    bimatoprost, ibuprofen IV. unspecified interaction mechanism. Use Caution/Monitor. There are conflicting reports from studies of either increased or decreased IOP when ophthalmic prostaglandins are coadministered with NSAIDs (either systemic or ophthalmic).

  • bisoprolol

    ibuprofen IV decreases effects of bisoprolol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.bisoprolol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • bivalirudin

    bivalirudin and ibuprofen IV both increase anticoagulation. Modify Therapy/Monitor Closely.

  • budesonide

    ibuprofen IV, budesonide.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of GI ulceration.

  • bumetanide

    ibuprofen IV increases and bumetanide decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.ibuprofen IV decreases effects of bumetanide by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs decrease prostaglandin synthesis.

  • candesartan

    ibuprofen IV decreases effects of candesartan by pharmacodynamic antagonism. Modify Therapy/Monitor Closely. NSAIDs decrease synthesis of vasodilating renal prostaglandins, and thus affect fluid homeostasis and may diminish antihypertensive effect.candesartan and ibuprofen IV both increase serum potassium. Use Caution/Monitor.candesartan, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • captopril

    captopril, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • carbamazepine

    ibuprofen IV will increase the level or effect of carbamazepine by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Monitor plasma levels when used concomitantly

  • carbenoxolone

    ibuprofen IV increases and carbenoxolone decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • carvedilol

    ibuprofen IV decreases effects of carvedilol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.carvedilol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • celecoxib

    celecoxib will increase the level or effect of ibuprofen IV by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.celecoxib and ibuprofen IV both increase anticoagulation. Use Caution/Monitor.celecoxib and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • celiprolol

    ibuprofen IV decreases effects of celiprolol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.

  • chlorothiazide

    ibuprofen IV increases and chlorothiazide decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor. NSAIDs may decrease the therapeutic effects of thiazide-like diuretics; may also enhance nephrotoxic effects.chlorothiazide will increase the level or effect of ibuprofen IV by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.

  • chlorpropamide

    ibuprofen IV increases effects of chlorpropamide by unknown mechanism. Use Caution/Monitor. Risk of hypoglycemia.

  • chlorthalidone

    ibuprofen IV increases and chlorthalidone decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor. NSAIDs may decrease the therapeutic effects of thiazide-like diuretics; may also enhance nephrotoxic effects.chlorthalidone will increase the level or effect of ibuprofen IV by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.

  • choline magnesium trisalicylate

    ibuprofen IV will increase the level or effect of choline magnesium trisalicylate by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.ibuprofen IV and choline magnesium trisalicylate both increase anticoagulation. Use Caution/Monitor.ibuprofen IV and choline magnesium trisalicylate both increase serum potassium. Use Caution/Monitor.

  • cinnamon

    ibuprofen IV and cinnamon both increase anticoagulation. Use Caution/Monitor.

  • ciprofloxacin

    ibuprofen IV, ciprofloxacin. Other (see comment). Modify Therapy/Monitor Closely. Comment: Mechanism: unknown. Increased risk of CNS stimulation and seizures with high doses of fluoroquinolones.

  • citalopram

    citalopram, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. If possible, avoid concurrent use.

  • clomipramine

    clomipramine, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. Clomipramine inhib. serotonin uptake by platelets.

  • clopidogrel

    clopidogrel, ibuprofen IV.Either increases effects of the other by pharmacodynamic synergism. Modify Therapy/Monitor Closely. Clopidogrel and NSAIDs both inhibit platelet aggregation.

  • cordyceps

    ibuprofen IV and cordyceps both increase anticoagulation. Use Caution/Monitor.

    (Video) NSAIDs Lecture

  • cortisone

    ibuprofen IV, cortisone.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of GI ulceration.

  • cyclopenthiazide

    ibuprofen IV increases and cyclopenthiazide decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor. NSAIDs may decrease the therapeutic effects of thiazide-like diuretics; may also enhance nephrotoxic effects.

  • cyclosporine

    ibuprofen IV increases toxicity of cyclosporine by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs decrease prostaglandin synthesis, increasing the risk of nephrotoxicity.

  • dabigatran

    dabigatran and ibuprofen IV both increase anticoagulation. Use Caution/Monitor. Caution is advised, both drugs have the potential to cause bleeding. Concomitant use may increase risk of bleeding.

  • dalteparin

    dalteparin and ibuprofen IV both increase anticoagulation. Modify Therapy/Monitor Closely.

  • deferasirox

    deferasirox, ibuprofen IV. Other (see comment). Use Caution/Monitor. Comment: Combination may increase GI bleeding, ulceration and irritation. Use with caution.

  • defibrotide

    defibrotide increases effects of ibuprofen IV by P-glycoprotein (MDR1) efflux transporter. Use Caution/Monitor. Defibrotide may enhance effects of platelet inhibitors.

  • deflazacort

    ibuprofen IV, deflazacort.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of GI ulceration.

  • dexamethasone

    ibuprofen IV, dexamethasone.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of GI ulceration.

  • dichlorphenamide

    dichlorphenamide, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Modify Therapy/Monitor Closely. Both drugs can cause metabolic acidosis.

  • diclofenac

    diclofenac will increase the level or effect of ibuprofen IV by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.diclofenac and ibuprofen IV both increase anticoagulation. Use Caution/Monitor.diclofenac and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • diflunisal

    diflunisal will increase the level or effect of ibuprofen IV by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.diflunisal and ibuprofen IV both increase anticoagulation. Use Caution/Monitor.diflunisal and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • digoxin

    ibuprofen IV and digoxin both increase serum potassium. Use Caution/Monitor.

  • dobutamine

    ibuprofen IV increases and dobutamine decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • dong quai

    ibuprofen IV and dong quai both increase anticoagulation. Use Caution/Monitor.

  • doxazosin

    ibuprofen IV decreases effects of doxazosin by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs decrease prostaglandin synthesis.

  • dronabinol

    ibuprofen IV will increase the level or effect of dronabinol by affecting hepatic enzyme CYP2C9/10 metabolism. Use Caution/Monitor. Dronabinol is a CYP2C9 substrate.

  • drospirenone

    drospirenone and ibuprofen IV both increase serum potassium. Modify Therapy/Monitor Closely.

  • duloxetine

    duloxetine, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • edoxaban

    edoxaban, ibuprofen IV.Either increases toxicity of the other by anticoagulation. Modify Therapy/Monitor Closely. Both drugs have the potential to cause bleeding, monitor closely. Promptly evaluate any signs or symptoms of blood loss.

  • efavirenz

    efavirenz will increase the level or effect of ibuprofen IV by affecting hepatic enzyme CYP2C9/10 metabolism. Use Caution/Monitor.

  • eltrombopag

    eltrombopag increases levels of ibuprofen IV by decreasing metabolism. Use Caution/Monitor. UGT inhibition; significance of interaction unclear.

  • eluxadoline

    ibuprofen IV increases levels of eluxadoline by affecting hepatic enzyme CYP2C9/10 metabolism. Use Caution/Monitor. As a precautionary measure due to incomplete information on the metabolism of eluxadoline, use caution when coadministered with strong CYP2C9/10 inhibitors.

  • elvitegravir/cobicistat/emtricitabine/tenofovir DF

    elvitegravir/cobicistat/emtricitabine/tenofovir DF, ibuprofen IV.Either increases toxicity of the other by decreasing renal clearance. Modify Therapy/Monitor Closely. Toxicity may result from coadministration of emtricitabine and tenofovir with other drugs that are also primarily excreted by glomerular filtration and/or active tubular secretion including high-dose or multiple-dose NSAIDs; alternatives to NSAIDs should be considered.

  • emtricitabine

    emtricitabine, ibuprofen IV.Either increases levels of the other by decreasing renal clearance. Modify Therapy/Monitor Closely. Toxicity may result from coadministration of emtricitabine with other drugs that are also primarily excreted by glomerular filtration and/or active tubular secretion including high-dose or multiple-dose NSAIDs; alternatives to NSAIDs should be considered.

  • enalapril

    enalapril, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • enoxaparin

    enoxaparin and ibuprofen IV both increase anticoagulation. Modify Therapy/Monitor Closely.

  • ephedrine

    ibuprofen IV increases and ephedrine decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • epinephrine

    ibuprofen IV increases and epinephrine decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • epinephrine racemic

    ibuprofen IV increases and epinephrine racemic decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • epoprostenol

    ibuprofen IV and epoprostenol both increase anticoagulation. Use Caution/Monitor.

  • eprosartan

    ibuprofen IV decreases effects of eprosartan by pharmacodynamic antagonism. Modify Therapy/Monitor Closely. NSAIDs decrease synthesis of vasodilating renal prostaglandins, and thus affect fluid homeostasis and may diminish antihypertensive effect.eprosartan and ibuprofen IV both increase serum potassium. Use Caution/Monitor.eprosartan, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • escitalopram

    escitalopram, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • esmolol

    ibuprofen IV decreases effects of esmolol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.esmolol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • ethacrynic acid

    ibuprofen IV increases and ethacrynic acid decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • etodolac

    etodolac will increase the level or effect of ibuprofen IV by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.etodolac and ibuprofen IV both increase anticoagulation. Use Caution/Monitor.etodolac and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • felbamate

    felbamate will increase the level or effect of ibuprofen IV by affecting hepatic enzyme CYP2C9/10 metabolism. Use Caution/Monitor.

  • fennel

    ibuprofen IV and fennel both increase anticoagulation. Use Caution/Monitor.

  • fenoprofen

    fenoprofen will increase the level or effect of ibuprofen IV by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.fenoprofen and ibuprofen IV both increase anticoagulation. Use Caution/Monitor.fenoprofen and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • feverfew

    ibuprofen IV and feverfew both increase anticoagulation. Use Caution/Monitor.

  • fish oil triglycerides

    fish oil triglycerides will increase the level or effect of ibuprofen IV by anticoagulation. Use Caution/Monitor. Prolonged bleeding reported in patients taking antiplatelet agents or anticoagulants and oral omega-3 fatty acids. Periodically monitor bleeding time in patients receiving fish oil triglycerides and concomitant antiplatelet agents or anticoagulants.

  • fludrocortisone

    ibuprofen IV, fludrocortisone.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of GI ulceration.

  • fluoxetine

    fluoxetine will increase the level or effect of ibuprofen IV by affecting hepatic enzyme CYP2C9/10 metabolism. Use Caution/Monitor.fluoxetine, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • flurbiprofen

    flurbiprofen will increase the level or effect of ibuprofen IV by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.flurbiprofen and ibuprofen IV both increase anticoagulation. Use Caution/Monitor.flurbiprofen and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • fluvoxamine

    fluvoxamine, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • fondaparinux

    fondaparinux and ibuprofen IV both increase anticoagulation. Modify Therapy/Monitor Closely.

  • formoterol

    ibuprofen IV increases and formoterol decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • forskolin

    ibuprofen IV and forskolin both increase anticoagulation. Use Caution/Monitor.

  • fosinopril

    fosinopril, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

    (Video) Pain Drugs Video Lecture

  • furosemide

    ibuprofen IV increases and furosemide decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • garlic

    ibuprofen IV and garlic both increase anticoagulation. Use Caution/Monitor.

  • gemifloxacin

    gemifloxacin, ibuprofen IV. Other (see comment). Modify Therapy/Monitor Closely. Comment: Increased risk of CNS stimulation and seizures with high doses of fluoroquinolones.

  • gentamicin

    ibuprofen IV increases and gentamicin decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor. NSAIDs may decrease excretion of aminoglycosides; data only on premature infants.ibuprofen IV increases levels of gentamicin by decreasing renal clearance. Use Caution/Monitor. Interaction mainly occurs in preterm infants.

  • ginger

    ibuprofen IV and ginger both increase anticoagulation. Use Caution/Monitor.

  • ginkgo biloba

    ibuprofen IV and ginkgo biloba both increase anticoagulation. Use Caution/Monitor.

  • glimepiride

    ibuprofen IV increases effects of glimepiride by unknown mechanism. Use Caution/Monitor. Risk of hypoglycemia.

  • glipizide

    ibuprofen IV increases effects of glipizide by unknown mechanism. Use Caution/Monitor. Risk of hypoglycemia.

  • glyburide

    ibuprofen IV increases levels of glyburide by affecting hepatic enzyme CYP2C9/10 metabolism. Use Caution/Monitor. Strong CYP2C9 inhibitors may decrease glyburide metabolism.ibuprofen IV increases effects of glyburide by unknown mechanism. Use Caution/Monitor. Risk of hypoglycemia.

  • green tea

    green tea, ibuprofen IV. Other (see comment). Use Caution/Monitor. Comment: Combination may increase risk of bleeding.

  • heparin

    heparin and ibuprofen IV both increase anticoagulation. Modify Therapy/Monitor Closely.

  • horse chestnut seed

    ibuprofen IV and horse chestnut seed both increase anticoagulation. Use Caution/Monitor.

  • hydralazine

    ibuprofen IV decreases effects of hydralazine by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs decrease prostaglandin synthesis.

  • hydrochlorothiazide

    ibuprofen IV increases and hydrochlorothiazide decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor. NSAIDs may decrease the therapeutic effects of thiazide-like diuretics; may also enhance nephrotoxic effects.hydrochlorothiazide will increase the level or effect of ibuprofen IV by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.

  • hydrocortisone

    ibuprofen IV, hydrocortisone.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of GI ulceration.

  • ibrutinib

    ibrutinib will increase the level or effect of ibuprofen IV by anticoagulation. Use Caution/Monitor. Ibrutinib may increase the risk of hemorrhage in patients receiving antiplatelet or anticoagulant therapies and monitor for signs of bleeding.

  • imatinib

    imatinib, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Modify Therapy/Monitor Closely. Comment: Imatinib may cause thrombocytopenia; bleeding risk increased when imatinib is coadministered with anticoagulants, NSAIDs, platelet inhibitors, and thrombolytic agents.imatinib will increase the level or effect of ibuprofen IV by affecting hepatic enzyme CYP2C9/10 metabolism. Use Caution/Monitor.

  • indapamide

    ibuprofen IV increases and indapamide decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor. NSAIDs may decrease the therapeutic effects of thiazide-like diuretics; may also enhance nephrotoxic effects.

  • indomethacin

    ibuprofen IV will increase the level or effect of indomethacin by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.ibuprofen IV and indomethacin both increase anticoagulation. Use Caution/Monitor.ibuprofen IV and indomethacin both increase serum potassium. Use Caution/Monitor.

  • irbesartan

    ibuprofen IV decreases effects of irbesartan by pharmacodynamic antagonism. Use Caution/Monitor. Antihypertensive effect of angiotensin receptor blockers may be attenuated by NSAIDs; monitor renal function and blood pressure periodically.irbesartan and ibuprofen IV both increase serum potassium. Use Caution/Monitor.irbesartan, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • isoproterenol

    ibuprofen IV increases and isoproterenol decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • ketoprofen

    ibuprofen IV will increase the level or effect of ketoprofen by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.ibuprofen IV and ketoprofen both increase anticoagulation. Use Caution/Monitor.ibuprofen IV and ketoprofen both increase serum potassium. Use Caution/Monitor.

  • ketorolac

    ibuprofen IV will increase the level or effect of ketorolac by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.ibuprofen IV and ketorolac both increase anticoagulation. Use Caution/Monitor.ibuprofen IV and ketorolac both increase serum potassium. Use Caution/Monitor.

  • ketorolac intranasal

    ibuprofen IV and ketorolac intranasal both increase anticoagulation. Use Caution/Monitor.ibuprofen IV and ketorolac intranasal both increase serum potassium. Use Caution/Monitor.

  • labetalol

    ibuprofen IV decreases effects of labetalol by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs diminish antihypertensive effects of beta-blockers.labetalol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • lacosamide

    ibuprofen IV increases levels of lacosamide by affecting hepatic enzyme CYP2C9/10 metabolism. Modify Therapy/Monitor Closely. Consider decreasing lacosamide dose when coadministered with strong CYP2C9 inhibitors.

  • latanoprost

    latanoprost, ibuprofen IV. unspecified interaction mechanism. Use Caution/Monitor. There are conflicting reports from studies of either increased or decreased IOP when ophthalmic prostaglandins are coadministered with NSAIDs (either systemic or ophthalmic).

  • latanoprostene bunod ophthalmic

    latanoprostene bunod ophthalmic, ibuprofen IV. unspecified interaction mechanism. Use Caution/Monitor. There are conflicting reports from studies of either increased or decreased IOP when ophthalmic prostaglandins are coadministered with NSAIDs (either systemic or ophthalmic).

  • lesinurad

    ibuprofen IV will increase the level or effect of lesinurad by affecting hepatic enzyme CYP2C9/10 metabolism. Modify Therapy/Monitor Closely.

  • levalbuterol

    ibuprofen IV increases and levalbuterol decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • levofloxacin

    levofloxacin, ibuprofen IV. Other (see comment). Modify Therapy/Monitor Closely. Comment: Risk of CNS stimulation/seizure. Mechanism: Displacement of GABA from receptors in brain.

  • levomilnacipran

    levomilnacipran, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. SNRIs may further impair platelet activity in patients taking antiplatelet or anticoagulant drugs.

  • lisinopril

    lisinopril, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • lithium

    ibuprofen IV increases levels of lithium by decreasing renal clearance. Use Caution/Monitor.

  • losartan

    ibuprofen IV decreases effects of losartan by pharmacodynamic antagonism. Modify Therapy/Monitor Closely. NSAIDs decrease synthesis of vasodilating renal prostaglandins, and thus affect fluid homeostasis and may diminish antihypertensive effect.losartan and ibuprofen IV both increase serum potassium. Use Caution/Monitor.losartan, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • lumacaftor/ivacaftor

    lumacaftor/ivacaftor will decrease the level or effect of ibuprofen IV by affecting hepatic enzyme CYP2C9/10 metabolism. Use Caution/Monitor. Ibuprofen it a substrate of CYP2C9. Lumacaftor has the potential to induce CYP2C9 substrates.

  • mefenamic acid

    ibuprofen IV and mefenamic acid both increase anticoagulation. Use Caution/Monitor.ibuprofen IV and mefenamic acid both increase serum potassium. Use Caution/Monitor.

  • melatonin

    melatonin increases effects of ibuprofen IV by anticoagulation. Use Caution/Monitor. Melatonin may decrease prothrombin time.

  • meloxicam

    ibuprofen IV and meloxicam both increase anticoagulation. Use Caution/Monitor.ibuprofen IV and meloxicam both increase serum potassium. Use Caution/Monitor.

  • mesalamine

    mesalamine, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Additive nephrotoxicity.

  • metaproterenol

    ibuprofen IV increases and metaproterenol decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • methotrexate

    ibuprofen IV will increase the level or effect of methotrexate by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.

  • methyclothiazide

    ibuprofen IV increases and methyclothiazide decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor. .

  • methylprednisolone

    ibuprofen IV, methylprednisolone.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of GI ulceration.

  • metolazone

    ibuprofen IV increases and metolazone decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • metoprolol

    ibuprofen IV decreases effects of metoprolol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.metoprolol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • milnacipran

    milnacipran, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • mipomersen

    mipomersen, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: Both drugs have potential to increase hepatic enzymes; monitor LFTs.

  • mistletoe

    ibuprofen IV increases and mistletoe decreases anticoagulation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

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  • moexipril

    moexipril, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • moxifloxacin

    moxifloxacin, ibuprofen IV. Other (see comment). Modify Therapy/Monitor Closely. Comment: Increased risk of CNS stimulation and seizures with high doses of fluoroquinolones.

  • moxisylyte

    ibuprofen IV decreases effects of moxisylyte by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs decrease prostaglandin synthesis.

  • mycophenolate

    ibuprofen IV will increase the level or effect of mycophenolate by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.

  • nabumetone

    ibuprofen IV and nabumetone both increase anticoagulation. Use Caution/Monitor.ibuprofen IV and nabumetone both increase serum potassium. Use Caution/Monitor.

  • nadolol

    ibuprofen IV decreases effects of nadolol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.nadolol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • nafcillin

    nafcillin, ibuprofen IV.Either increases levels of the other by decreasing renal clearance. Use Caution/Monitor.nafcillin, ibuprofen IV.Either increases levels of the other by plasma protein binding competition. Use Caution/Monitor.

  • nebivolol

    ibuprofen IV decreases effects of nebivolol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.nebivolol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • nefazodone

    nefazodone, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • nettle

    ibuprofen IV increases and nettle decreases anticoagulation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • norepinephrine

    ibuprofen IV increases and norepinephrine decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • ofloxacin

    ofloxacin, ibuprofen IV. Other (see comment). Use Caution/Monitor. Comment: Risk of CNS stimulation/seizure. Mechanism: Displacement of GABA from receptors in brain.

  • olmesartan

    ibuprofen IV decreases effects of olmesartan by pharmacodynamic antagonism. Modify Therapy/Monitor Closely. NSAIDs decrease synthesis of vasodilating renal prostaglandins, and thus affect fluid homeostasis and may diminish antihypertensive effect.olmesartan and ibuprofen IV both increase serum potassium. Use Caution/Monitor.olmesartan, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • oxacillin

    oxacillin, ibuprofen IV.Either increases levels of the other by decreasing renal clearance. Use Caution/Monitor.oxacillin, ibuprofen IV.Either increases levels of the other by plasma protein binding competition. Use Caution/Monitor.

  • panax ginseng

    ibuprofen IV and panax ginseng both increase anticoagulation. Use Caution/Monitor.

  • paroxetine

    paroxetine, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • pau d'arco

    ibuprofen IV and pau d'arco both increase anticoagulation. Use Caution/Monitor.

  • pegaspargase

    pegaspargase increases effects of ibuprofen IV by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of bleeding events.

  • peginterferon alfa 2b

    peginterferon alfa 2b decreases levels of ibuprofen IV by affecting hepatic enzyme CYP2C9/10 metabolism. Use Caution/Monitor. When patients are administered peginterferon alpha-2b with CYP2C9 substrates, the therapeutic effect of these drugs may be altered.

  • penbutolol

    ibuprofen IV decreases effects of penbutolol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.penbutolol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • penicillin G aqueous

    penicillin G aqueous, ibuprofen IV.Either increases levels of the other by decreasing renal clearance. Use Caution/Monitor.penicillin G aqueous, ibuprofen IV.Either increases levels of the other by plasma protein binding competition. Use Caution/Monitor.

  • penicillin VK

    penicillin VK, ibuprofen IV.Either increases levels of the other by decreasing renal clearance. Use Caution/Monitor.penicillin VK, ibuprofen IV.Either increases levels of the other by plasma protein binding competition. Use Caution/Monitor.

  • perindopril

    perindopril, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • phenindione

    phenindione and ibuprofen IV both increase anticoagulation. Modify Therapy/Monitor Closely.

  • phenoxybenzamine

    ibuprofen IV decreases effects of phenoxybenzamine by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs decrease prostaglandin synthesis.

  • phentolamine

    ibuprofen IV decreases effects of phentolamine by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs decrease prostaglandin synthesis.

  • phytoestrogens

    ibuprofen IV and phytoestrogens both increase anticoagulation. Use Caution/Monitor.

  • pindolol

    ibuprofen IV decreases effects of pindolol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.pindolol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • pirbuterol

    ibuprofen IV increases and pirbuterol decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • piroxicam

    ibuprofen IV will increase the level or effect of piroxicam by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor. Therapeutic duplicationibuprofen IV and piroxicam both increase anticoagulation. Use Caution/Monitor. Therapeutic duplicationibuprofen IV and piroxicam both increase serum potassium. Use Caution/Monitor. Therapeutic duplication

  • pivmecillinam

    pivmecillinam, ibuprofen IV.Either increases levels of the other by plasma protein binding competition. Use Caution/Monitor.

  • potassium acid phosphate

    ibuprofen IV and potassium acid phosphate both increase serum potassium. Modify Therapy/Monitor Closely.

  • potassium chloride

    ibuprofen IV and potassium chloride both increase serum potassium. Modify Therapy/Monitor Closely.

  • potassium citrate

    ibuprofen IV and potassium citrate both increase serum potassium. Modify Therapy/Monitor Closely.

  • potassium iodide

    potassium iodide and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • pralatrexate

    ibuprofen IV increases levels of pralatrexate by decreasing renal clearance. Use Caution/Monitor. NSAIDs may delay pralatrexate clearance, increasing drug exposure. Adjust the pralatrexate dose as needed.

  • prasugrel

    ibuprofen IV, prasugrel.Either increases effects of the other by anticoagulation. Use Caution/Monitor. Chronic use of NSAIDs with prasugrel may increase bleeding risk.

  • prazosin

    ibuprofen IV decreases effects of prazosin by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs decrease prostaglandin synthesis.

  • prednisolone

    ibuprofen IV, prednisolone.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of GI ulceration.

  • prednisone

    ibuprofen IV, prednisone.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of GI ulceration.

  • probenecid

    ibuprofen IV will increase the level or effect of probenecid by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.

  • propranolol

    ibuprofen IV decreases effects of propranolol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.propranolol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • protamine

    protamine and ibuprofen IV both increase anticoagulation. Modify Therapy/Monitor Closely.

  • quinapril

    quinapril, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • ramipril

    ramipril, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • reishi

    ibuprofen IV and reishi both increase anticoagulation. Use Caution/Monitor.

  • reteplase

    ibuprofen IV and reteplase both increase anticoagulation. Use Caution/Monitor. Potential for increased risk of bleeding, caution is advised.

  • rivaroxaban

    rivaroxaban, ibuprofen IV. Other (see comment). Use Caution/Monitor. Comment: NSAIDs are known to increase bleeding. Bleeding risk may be increased when NSAIDs are used concomitantly with rivaroxaban. Monitor for signs/symptoms of blood loss.

  • rivastigmine

    rivastigmine increases toxicity of ibuprofen IV by pharmacodynamic synergism. Use Caution/Monitor. Monitor patients for symptoms of active or occult gastrointestinal bleeding.

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  • sacubitril/valsartan

    ibuprofen IV decreases effects of sacubitril/valsartan by pharmacodynamic antagonism. Modify Therapy/Monitor Closely. NSAIDs decrease synthesis of vasodilating renal prostaglandins, and thus affect fluid homeostasis and may diminish antihypertensive effect.sacubitril/valsartan and ibuprofen IV both increase serum potassium. Use Caution/Monitor.sacubitril/valsartan, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • salicylates (non-asa)

    ibuprofen IV will increase the level or effect of salicylates (non-asa) by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.ibuprofen IV and salicylates (non-asa) both increase anticoagulation. Use Caution/Monitor.

  • salmeterol

    ibuprofen IV increases and salmeterol decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • salsalate

    ibuprofen IV will increase the level or effect of salsalate by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.ibuprofen IV and salsalate both increase anticoagulation. Use Caution/Monitor.ibuprofen IV and salsalate both increase serum potassium. Use Caution/Monitor.

  • saw palmetto

    saw palmetto increases toxicity of ibuprofen IV by unspecified interaction mechanism. Use Caution/Monitor. May increase risk of bleeding.

  • sertraline

    sertraline, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • Siberian ginseng

    ibuprofen IV and Siberian ginseng both increase anticoagulation. Use Caution/Monitor.

  • silodosin

    ibuprofen IV decreases effects of silodosin by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs decrease prostaglandin synthesis.

  • sodium picosulfate/magnesium oxide/anhydrous citric acid

    ibuprofen IV, sodium picosulfate/magnesium oxide/anhydrous citric acid.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May be associated with fluid and electrolyte imbalances.

  • sodium sulfate/?magnesium sulfate/potassium chloride

    sodium sulfate/?magnesium sulfate/potassium chloride increases toxicity of ibuprofen IV by Other (see comment). Use Caution/Monitor. Comment: Coadministration with medications that cause fluid and electrolyte abnormalities may increase the risk of adverse events of seizure, arrhythmias, and renal impairment.

  • sodium sulfate/potassium sulfate/magnesium sulfate

    sodium sulfate/potassium sulfate/magnesium sulfate increases toxicity of ibuprofen IV by Other (see comment). Use Caution/Monitor. Comment: Coadministration with medications that cause fluid and electrolyte abnormalities may increase the risk of adverse events of seizure, arrhythmias, and renal impairment.

  • sodium sulfate/potassium sulfate/magnesium sulfate/polyethylene glycol

    ibuprofen IV, sodium sulfate/potassium sulfate/magnesium sulfate/polyethylene glycol. Other (see comment). Use Caution/Monitor. Comment: Caution when bowel preps are used with drugs that cause SIADH or NSAIDs; increased risk for water retention or electrolyte imbalance.

  • sotalol

    ibuprofen IV decreases effects of sotalol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.sotalol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • sparsentan

    ibuprofen IV and sparsentan both increase nephrotoxicity and/or ototoxicity. Use Caution/Monitor. Coadministration of NSAIDS, including selective COX-2 inhibitors, may result in deterioration of kidney function (eg, possible kidney failure). Monitor for signs of worsening renal function with concomitant use with NSAIDs.

  • spironolactone

    spironolactone and ibuprofen IV both increase serum potassium. Modify Therapy/Monitor Closely.

  • succinylcholine

    ibuprofen IV and succinylcholine both increase serum potassium. Use Caution/Monitor.

  • sulfasalazine

    ibuprofen IV will increase the level or effect of sulfasalazine by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.ibuprofen IV and sulfasalazine both increase anticoagulation. Use Caution/Monitor.ibuprofen IV and sulfasalazine both increase serum potassium. Use Caution/Monitor.

  • sulindac

    ibuprofen IV will increase the level or effect of sulindac by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.ibuprofen IV and sulindac both increase anticoagulation. Use Caution/Monitor.ibuprofen IV and sulindac both increase serum potassium. Use Caution/Monitor.

  • tafluprost

    tafluprost, ibuprofen IV. unspecified interaction mechanism. Use Caution/Monitor. There are conflicting reports from studies of either increased or decreased IOP when ophthalmic prostaglandins are coadministered with NSAIDs (either systemic or ophthalmic).

  • telmisartan

    ibuprofen IV decreases effects of telmisartan by pharmacodynamic antagonism. Modify Therapy/Monitor Closely. NSAIDs decrease synthesis of vasodilating renal prostaglandins, and thus affect fluid homeostasis and may diminish antihypertensive effect.telmisartan and ibuprofen IV both increase serum potassium. Use Caution/Monitor.telmisartan, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • temocillin

    temocillin, ibuprofen IV.Either increases levels of the other by decreasing renal clearance. Use Caution/Monitor.temocillin, ibuprofen IV.Either increases levels of the other by plasma protein binding competition. Use Caution/Monitor.

  • tenecteplase

    ibuprofen IV and tenecteplase both increase anticoagulation. Use Caution/Monitor. Potential for increased risk of bleeding, caution is advised.

  • tenofovir DF

    tenofovir DF, ibuprofen IV.Either increases levels of the other by decreasing renal clearance. Modify Therapy/Monitor Closely. Toxicity may result from coadministration of tenofovir DF with other drugs that are also primarily excreted by glomerular filtration and/or active tubular secretion including high-dose or multiple-dose NSAIDs; alternatives to NSAIDs should be considered.

  • terazosin

    ibuprofen IV decreases effects of terazosin by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs decrease prostaglandin synthesis.

  • terbutaline

    ibuprofen IV increases and terbutaline decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • ticagrelor

    ticagrelor, ibuprofen IV.Either increases effects of the other by anticoagulation. Use Caution/Monitor. Increased risk of bleeding with use of ticagrelor and chronic NSAID use. .

  • ticarcillin

    ticarcillin, ibuprofen IV.Either increases levels of the other by decreasing renal clearance. Use Caution/Monitor.ticarcillin, ibuprofen IV.Either increases levels of the other by plasma protein binding competition. Use Caution/Monitor.

  • ticlopidine

    ticlopidine will increase the level or effect of ibuprofen IV by affecting hepatic enzyme CYP2C9/10 metabolism. Use Caution/Monitor.ticlopidine increases toxicity of ibuprofen IV by anticoagulation. Use Caution/Monitor.

  • timolol

    ibuprofen IV decreases effects of timolol by pharmacodynamic antagonism. Use Caution/Monitor. Long term (>1 wk) NSAID use. NSAIDs decrease prostaglandin synthesis.timolol and ibuprofen IV both increase serum potassium. Use Caution/Monitor.

  • tobramycin inhaled

    tobramycin inhaled and ibuprofen IV both increase nephrotoxicity and/or ototoxicity. Modify Therapy/Monitor Closely. Avoid concurrent or sequential use to decrease risk for ototoxicity

  • tolazamide

    ibuprofen IV increases effects of tolazamide by unknown mechanism. Use Caution/Monitor. Risk of hypoglycemia.

  • tolbutamide

    ibuprofen IV increases effects of tolbutamide by unknown mechanism. Use Caution/Monitor. Risk of hypoglycemia.

  • tolfenamic acid

    ibuprofen IV will increase the level or effect of tolfenamic acid by acidic (anionic) drug competition for renal tubular clearance. Use Caution/Monitor.ibuprofen IV and tolfenamic acid both increase anticoagulation. Use Caution/Monitor.ibuprofen IV and tolfenamic acid both increase serum potassium. Use Caution/Monitor.

  • tolmetin

    ibuprofen IV and tolmetin both increase anticoagulation. Use Caution/Monitor.ibuprofen IV and tolmetin both increase serum potassium. Use Caution/Monitor.

  • tolvaptan

    ibuprofen IV and tolvaptan both increase serum potassium. Use Caution/Monitor.

  • torsemide

    ibuprofen IV increases and torsemide decreases serum potassium. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • trandolapril

    ibuprofen IV decreases effects of trandolapril by pharmacodynamic synergism. Modify Therapy/Monitor Closely. NSAIDs decrease sysnthesis of vasodilating renal prostaglandins, and thus affect fluid homeostasis and may diminish antihypertenisve effect.trandolapril, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • travoprost ophthalmic

    travoprost ophthalmic, ibuprofen IV. unspecified interaction mechanism. Use Caution/Monitor. There are conflicting reports from studies of either increased or decreased IOP when ophthalmic prostaglandins are coadministered with NSAIDs (either systemic or ophthalmic).

  • trazodone

    trazodone, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • triamcinolone acetonide injectable suspension

    ibuprofen IV, triamcinolone acetonide injectable suspension.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Concomitant use of NSAIDS and corticosteroids increases the risk of gastrointestinal side effects. .

  • triamterene

    triamterene, ibuprofen IV. Other (see comment). Modify Therapy/Monitor Closely. Comment: Risk of acute renal failure. Mechanism: NSAIDs decrease prostaglandin synthesis, which normally protect against nephrotoxicity.triamterene and ibuprofen IV both increase serum potassium. Modify Therapy/Monitor Closely.

  • valsartan

    ibuprofen IV decreases effects of valsartan by pharmacodynamic antagonism. Modify Therapy/Monitor Closely. NSAIDs decrease synthesis of vasodilating renal prostaglandins, and thus affect fluid homeostasis and may diminish antihypertensive effect.valsartan and ibuprofen IV both increase serum potassium. Use Caution/Monitor.valsartan, ibuprofen IV.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: May result in renal function deterioration, particularly in elderly or volume depleted individuals.

  • venlafaxine

    venlafaxine, ibuprofen IV.Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Increased risk of upper GI bleeding. SSRIs inhib. serotonin uptake by platelets.

  • vitamin K1 (phytonadione)

    ibuprofen IV increases and vitamin K1 (phytonadione) decreases anticoagulation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • voclosporin

    voclosporin, ibuprofen IV.Either increases toxicity of the other by nephrotoxicity and/or ototoxicity. Modify Therapy/Monitor Closely. Coadministration with drugs associated with nephrotoxicity may increase the risk for acute and/or chronic nephrotoxicity.

  • vorapaxar

    ibuprofen IV, vorapaxar.Either increases effects of the other by pharmacodynamic synergism. Use Caution/Monitor. Additive antiplatelet effect may occur.

  • vortioxetine

    ibuprofen IV, vortioxetine.Either increases effects of the other by anticoagulation. Use Caution/Monitor.

  • warfarin

    ibuprofen IV, warfarin.Either increases effects of the other by pharmacodynamic synergism. Modify Therapy/Monitor Closely. Drugs with antiplatelet properties may increase anticoagulation effect of warfarin.

  • zanubrutinib

    ibuprofen IV, zanubrutinib.Either increases effects of the other by anticoagulation. Modify Therapy/Monitor Closely. Zanubrutinib-induced cytopenias increases risk of hemorrhage. Coadministration of zanubritinib with antiplatelets or anticoagulants may further increase this risk.

  • zotepine

    ibuprofen IV decreases effects of zotepine by pharmacodynamic antagonism. Use Caution/Monitor. NSAIDs decrease prostaglandin synthesis.

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