Methotrexate and Nimesulide: High risk - avoid combining interaction. Avoid combining these medicines. High risk. Avoid taking Methotrexate with Nimesulide unless your pharmacist or doctor approves.

Drug InteractionHigh Risk - AvoidAI-VerifiedCategory · general

Can I take Methotrexate with Nimesulide?

Methotrexate and Nimesulide should not be combined without explicit medical guidance.

Brand names: Methotrexate - Trexall (US)

MethotrexateMEDICINE ANimesulideMEDICINE B
Avoid combining
Do not combine

Quick verdict

No - avoid combining Methotrexate with Nimesulide.

What to do: Avoid combination

Ask GoDavaii AI about this combination

Is it safe to take Methotrexate with Nimesulide? Explain the interaction, what to watch for, and safer timing.

Interaction text from an FDA label for a product containing Methotrexate (not specific to Nimesulide)

General label text, not a pair-specific study

Refer to the full prescribing information for drug interactions with methotrexate. 7.1 Effects of Other Drugs on Methotrexate Drugs that Increase Methotrexate Exposure Coadministration of methotrexate with the following products may increase methotrexate plasma concentrations, which may increase the risk of methotrexate severe adverse reactions.

This is general interaction text from the label of a product that contains Methotrexate. It does not mention Nimesulide, so it does not show how Methotrexate and Nimesulide affect each other. The verdict above comes from the GoDavaii interaction dataset. Ask your pharmacist to check both medicines' labels before you combine them.

Questions to ask your pharmacist

  • Does Methotrexate change how Nimesulide works, or the other way round?
  • Should I take Methotrexate and Nimesulide at different times of day?
  • Which side effects should I watch for while taking both?
  • Is there a better option if this combination does not suit me?

What to do instead

Avoid combination

Why to Avoid

Simple rules that protect you

  • Avoid combination
  • Always tell your doctor/pharmacist about ALL medicines you take - prescriptions, OTC, supplements, and herbal products.
  • Keep a current medicine list with doses and timings - photo on your phone is enough.
  • Read medicine labels for timing (with food / empty stomach) before combining.
  • Do NOT combine Methotrexate with Nimesulide without explicit doctor approval.
  • Use GoDavaii AI to double-check before adding any new medicine, supplement, or desi ilaaj.

If you've already taken both medicines and feel unwell (unusual bleeding, severe stomach pain, confusion, breathing issues), get medical help now.

Emergency · 112
AI-Verified · Cross-checked against 93,000+ interaction database

Not medical advice

Individual responses vary based on dose, timing, health conditions, and other medicines. Always consult your doctor or pharmacist before combining medicines. For emergencies, call 112.

Source

FDA drug label for Methotrexate (via openFDA). View source ↗

General label text for Methotrexate; not a pair-specific study.

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