benemid and Indomethacin extended release Interactions

Interactions between benemid(probenecid) and Indomethacin extended release (indomethacin)

probenecid and indomethacin (Moderate Drug-Drug)

MONITOR: Indomethacin clearance may be reduced during concomitant therapy with probenecid. The mechanism is unclear. Data from one study suggest that probenecid may interfere with biliary elimination of indomethacin. Other reports propose interference with the renal elimination of indomethacin. The risk of adverse effects may be increased.

MANAGEMENT: Patients receiving this combination should be monitored for increased NSAID side effects. Patients should be advised to report possible signs of NSAID toxicity such as dizziness, drowsiness, headache, tinnitus, nausea, vomiting, dyspepsia, abdominal pain, diarrhea, or black tarry stools. Dose reductions may be required.