Xibu Dexibuprofen (S Ibuprofen) Methotrexate
MajorNSAIDs reduce methotrexate clearance, risking severe myelosuppression and toxicity.
These medicines can affect each other in a serious way. Do not start taking them together unless your doctor has said it is OK. If you already take both, do not stop either one on your own: speak to your doctor or pharmacist soon.
Clinical management: Avoid with high-dose methotrexate; with low dose monitor blood counts and renal function.