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Analgesics and pressure lowering drugs - can it be used together?
Hello, I should start taking metocard for physiological sinus tachycardia, but I delay with this because I have a dilemma. I have a very painful 1 day of menstruation, without nurofen I can not do (express forte). However, I read in the leaflet that you can not combine metocard with nlpz. What in such a situation? Are there any other painkillers that work in such a situation and do not interact with metocard?
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Aleksandra Żywiec-Pelczar Pharmacist
2 years ago
Between metoprolol contained in Metocard and ibuprofen, the active substance of Nurofen Express Forte, there is an interaction of weakening the hypotensive (blood pressure-lowering) effect of metoprolol. If you do not have problems with hypertension, the simultaneous use of both drugs is not contraindicated. A similar interaction also occurs between other drugs from the group of non-steroidal anti-inflammatory drugs (NSAIDs), such as ketoprofen, meloxicam or naproxen. Medicines containing paracetamol can be used in parallel with Metocard (for painful menstruation, one of the medicinal products containing a combination of paracetamol and hyoscine, e.g. Panadol Femina) or metamizole may be used (e.g. in the case of painful menstruation, a combination of metamizole with caffeine and drotaverine, e.g. Vemonis Femi), may be helpful). You can read more about drug interactions in the text: https://www.gdziepolek.pl/artykuly/czy-przyjmowanie-kilku-lekow-jednoczesnie-jest-bezpieczne