Evigrade
MajorAngiotensin II receptor blocker×Non-steroidal anti-inflammatory drugs (NSAIDs)

Updated · Methodology

Mechanism

Similar to ibuprofen + losartan. Diclofenac has a high nephrotoxic potential among NSAIDs.

Symptoms

Reduced urine output, rising creatinine and potassium, oedema. Symptoms appear earlier in older patients and in chronic kidney disease.

Management

Avoid prolonged combination. If diclofenac is needed for a short course, use the minimum effective dose for 5–7 days with creatinine monitoring. For chronic analgesia: paracetamol or celecoxib.

Check the full regimen, not just this pair

Opens the checker with these two drugs prefilled. Add the rest of the regimen and recompute additive risks.

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Sources

Other interactions with Diclofenac