Asmaloc 300 SR Theophylline Methotrexate
MajorMethotrexate (Trexall) and theophylline should be taken together only with close monitoring, because the combination may raise the risk of liver damage (hepatotoxicity). The leaflet puts theophylline in the same group as penicillin, probenecid, azathioprine, retinoids and sulfasalazine. Doctors are advised to watch patients closely when methotrexate is used with any of these. The leaflet also lists NSAIDs (painkillers such as ibuprofen or diclofenac) separately. They should not be given before, or together with, high doses of Trexall, such as those used to treat osteosarcoma.
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.