How does ibuprofen interact with methotrexate and what dosage adjustments or monitoring are required when used together?
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Ibuprofen can increase methotrexate levels, raising toxicity risks. Monitor blood counts and kidney function; adjust methotrexate dosage as needed.
Combining ibuprofen with methotrexate can enhance methotrexate’s effects, potentially leading to toxicity. Regular monitoring of kidney function and blood cell counts is advised.