|
|
Lithium* | |
|
Willow* | |
|
Lithium* White willow* | |
| Side effect reduction/prevention |
None known |
| Supportive interaction |
None known |
An asterisk (*) next to an item in the summary indicates that the interaction is supported only by weak, fragmentary, and/or contradictory scientific evidence.
Lithium
Lithium is a mineral that may be present in some supplements and is also used in large amounts
to treat mood disorders such as manic-depression. Research has shown that non-steroidal anti-inflammatory drugs may increase blood levels of
lithium,1 resulting in side effects such as
diarrhoea, nausea, muscle weakness, and lack of coordination. Though there is no research
available to show that ketoprofen increases lithium blood levels, until more information is
available, people taking ketoprofen should talk with their healthcare practitioner before
supplementing with lithium.
Willow (Salix
alba)
Willow bark contains salicin, which is related to aspirin.
Both salicin and aspirin produce anti-inflammatory effects after they have been converted to
salicylic acid in the body. The interaction between salicylic acid and ketoprofen is complex.
While it may enhance the effectiveness of ketoprofen, salicylic acid also speeds its
elimination from the body.2 Consequently, people taking ketoprofen should avoid
herbal products that contain willow bark.
Food
Ketoprofen may cause stomach upset and should therefore be taken with food.3
Calories and Fat
Taking a slow-release form of ketoprofen with low-fat, low-calorie food may increase the
absorption of the drug, compared with taking it with a high-fat, high-calorie
meal.4 Individuals who eat a diet high in calories and fat may require an
adjustment in the daily amount of ketoprofen taken or may experience greater benefit by
switching to a low-fat, low-calorie diet. Consult a qualified professional about matching
ketoprofen dosage with dietary fat and calorie intake.
1. Sifton DW, ed. Physicians Desk Reference. Montvale, NJ: Medical Economics Company, Inc., 2000, 3285–8.
2. Sifton DW, ed. Physicians Desk Reference. Montvale, NJ: Medical Economics Company, Inc., 2000, 3285–8.
3. Sifton DW, ed. Physicians Desk Reference. Montvale, NJ: Medical Economics Company, Inc., 2000, 3285–8.
4. Le Liboux A, Teule M, Frydman A, et al. Effect of diet on the single- and multiple-dose pharmacokinetics of sustained-release ketoprofen. Eur J Clin Pharmacol 1994;47:361–6.
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