Can I take Naproxen and Quinine together?

למה זה קורה

Naproxen is an NSAID that thins the blood slightly by affecting platelets and can irritate the stomach lining. Quinine can also lower platelet counts in some people, leading to an additive effect on bleeding risk. Both drugs have the potential to affect the electrical activity of the heart (prolonging the QT interval), though this is rare at standard doses.

Use this combination with caution. If you have a history of stomach ulcers, heart rhythm problems, or bleeding disorders, speak to your doctor before taking them together. Seek medical advice if you notice unusual bruising, black tarry stools, or if you feel dizzy or notice a fluttering sensation in your chest.

אסתמה

Do not take naproxen if you have asthma that is sensitive to aspirin or other NSAIDs, as it can trigger a life-threatening asthma attack or severe breathing difficulties.

כיבי קיבה או דימום

Naproxen can cause serious stomach ulcers and internal bleeding. This risk is higher if you have had ulcers before, are over 65, or take other blood-thinning medicines. Stop taking it and see a doctor immediately if you have black, tarry stools or vomit blood.

Blood disorders (Thrombocytopenia)

Quinine can cause a severe drop in platelets (thrombocytopenia), leading to dangerous internal bleeding. Stop taking it immediately if you notice unusual bruising or small purple spots on your skin.

Heart rhythm disorders

Quinine can cause serious, potentially fatal heart rhythm problems. Avoid if you have a history of 'long QT syndrome' or take other medicines that affect heart rhythm.

Tinnitus (ringing in the ears) or hearing loss

Quinine can cause permanent hearing damage or worsen existing tinnitus. Stop taking the medicine immediately if you notice any changes to your hearing or ringing in your ears.

הריון

Quinine must be avoided during pregnancy, especially in the first trimester, as high doses can cause birth defects or miscarriage. It should only be used for malaria if the benefits outweigh the risks to the baby.

הריון (שליש שלישי)

Do not take naproxen if you are more than 20 weeks pregnant. It can cause serious kidney or heart problems in the unborn baby and may lead to complications during delivery.

אלכוהול

It is best to avoid or strictly limit alcohol while taking naproxen. Both alcohol and naproxen can irritate the lining of your stomach; combining them significantly increases your risk of developing stomach ulcers or internal bleeding.

It is best to avoid or strictly limit alcohol while taking quinine. Both alcohol and quinine can affect your heart rhythm and cause dizziness; combining them may increase these risks.

מיץ אשכוליות

Avoid drinking grapefruit juice or eating grapefruit while taking quinine. Grapefruit contains compounds that can increase the level of quinine in your blood, which makes side effects much more likely and potentially more serious.

מזון (כללי)

You should take naproxen with or just after a meal or a snack. This helps to protect your stomach lining and reduces the risk of indigestion or stomach pain.

Taking multiple medicines? Our בודק אינטראקציות בין תרופות helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

הבהרה

מידע זה מיועד למטרות חינוכיות כלליות בלבד ואין להסתמך עליו כתחליף לייעוץ רפואי מקצועי. תמיד יש להתייעץ עם רופא המשפחה, רוקח או איש מקצוע רפואי מוסמך אחר לפני קבלת החלטות לגבי התרופות שלך. נסיבות אישיות עשויות להשתנות, ורק איש מקצוע רפואי שמכיר את ההיסטוריה הרפואית שלך יכול לספק הנחיות מותאמות אישית.