Does Furosemide Interact With Methotrexate?
Methotrexate and other drugs that, like furosemide, undergo significant renal tubular secretion may reduce the effect of furosemide.
Severity: Moderate
Severity basis: drug interactions section (keywords: may reduce). Combining Furosemide (Loop diuretic) and Methotrexate (Antimetabolite DMARD) is classified as a moderate interaction.
What to Do
Use this combination with caution. Your prescriber may monitor you more closely or adjust doses.
How This Interaction Works
Interactions like this one can happen when two medicines have overlapping effects, or when one changes how the other is absorbed, broken down, or cleared from the body. Furosemide is a loop diuretic and Methotrexate is a antimetabolite dmard; together they are documented as a moderate interaction. How much this matters depends on your dose, your other medications, and your overall health.
If You Take Both Medications
If you have been prescribed both Furosemide and Methotrexate, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
From the FDA Label
Methotrexate and other drugs that, like furosemide, undergo significant renal tubular secretion may reduce the effect of furosemide.
Source: FDA structured product labeling (set_id 01a5f094-b473-4e46-9e61-69d5ec6dd766).
Check these against your full medication list in our free Interaction Checker
Frequently Asked Questions
Can you take Furosemide and Methotrexate together?
Furosemide and Methotrexate have a documented moderate interaction. Use this combination with caution. Your prescriber may monitor you more closely or adjust doses.
How serious is the Furosemide and Methotrexate interaction?
It is classified as a moderate interaction, based on the FDA label's drug interactions section (keywords: may reduce). A moderate interaction can be clinically meaningful and usually calls for monitoring or a dose adjustment.
What should I do if I'm taking both Furosemide and Methotrexate?
If you have been prescribed both Furosemide and Methotrexate, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.
This information is educational — not medical advice.
This page is provided for general educational purposes and summarizes publicly available data from sources such as the U.S. Food & Drug Administration. It is not a substitute for the judgment of a licensed clinician and should not be used to start, stop, or change any medication. It may be incomplete or out of date, and individual circumstances vary. Always talk with your prescriber or pharmacist about your specific medications and health conditions. If you think you may have a medical emergency, call 911.
Other Furosemide Interactions
- Furosemide + Cyclosporine(moderate)
- Furosemide + Indomethacin(moderate)
- Furosemide + Phenytoin(moderate)
- Furosemide + Sucralfate(moderate)
- Furosemide + Aspirin(minor)
- Furosemide + Atenolol(minor)
- Furosemide + Celecoxib(minor)
- Furosemide + Levothyroxine(minor)
- Furosemide + Liothyronine(minor)
- Furosemide + Lithium(minor)
- Furosemide + Meloxicam(minor)
- Furosemide + Naproxen(minor)
- Furosemide + Potassium Chloride(minor)
- Furosemide + Ramipril(minor)
- Furosemide + Risperidone(minor)
- Furosemide + Tamsulosin(minor)
Other Methotrexate Interactions
- Methotrexate + Aspirin(major)
- Methotrexate + Folic Acid(major)
- Methotrexate + Phenytoin(major)
- Methotrexate + Adalimumab(moderate)
- Methotrexate + Celecoxib(moderate)
- Methotrexate + Hydroxychloroquine(moderate)
- Methotrexate + Indomethacin(moderate)
- Methotrexate + Meloxicam(moderate)
- Methotrexate + Naproxen(moderate)
- Methotrexate + Cyclosporine(minor)
- Methotrexate + Lansoprazole(minor)
- Methotrexate + Ondansetron(minor)
- Methotrexate + Pantoprazole(minor)