Nabu 500 Nabumetone Methotrexate
MajorNSAIDs reduce renal clearance of methotrexate. Levels rise, risking severe bone marrow suppression, mucositis and kidney injury, especially with high-dose methotrexate.
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 closely.