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Can I take Ibuprofen and Oxycodone together?

Drug interaction guide

Taking ibuprofen and oxycodone together can increase the risk of side effects affecting your stomach and kidneys. However, these two medicines are very commonly prescribed together because they work in different ways to provide better pain relief than either drug alone. The most common side effects include stomach ache, indigestion, or feeling dizzy and sleepy.

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Why this happens

Ibuprofen is an anti-inflammatory (NSAID) that can irritate the stomach lining and affect kidney blood flow. Oxycodone is an opioid that slows down the central nervous system. While they do not 'interfere' with how the body breaks each other down, their side effects can add up, particularly the risk of stomach upset and drowsiness.

It is generally safe to take these together if prescribed by your doctor, but you should take them with food to protect your stomach. Do not exceed the recommended dose of either medicine. Avoid drinking alcohol while taking this combination, as it will significantly increase drowsiness and the risk of breathing problems. If you have a history of stomach ulcers, kidney disease, or asthma, speak to your doctor before combining them.

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Respiratory conditions (e.g. Asthma, COPD)

Oxycodone can cause life-threatening breathing difficulties. Do not take this medicine if you have severe asthma or serious lung problems.

Do not take ibuprofen if you have asthma, as it can cause a life-threatening worsening of your breathing or a severe allergic reaction.

Opioid dependence and withdrawal

Oxycodone is highly addictive. Long-term use leads to physical dependence; stopping suddenly can cause severe withdrawal symptoms. Use only for the shortest time possible.

Stomach ulcers or bleeding

Avoid ibuprofen if you have ever had a stomach ulcer, perforation, or bleeding, as it can cause serious damage to the stomach lining.

Pregnancy (third trimester)

Do not take ibuprofen if you are more than 6 months pregnant, as it can cause serious heart and kidney problems in the unborn baby and complications during birth.

Alcohol

It is best to avoid or strictly limit alcohol while taking ibuprofen. Combining alcohol with non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen increases the risk of irritation to your stomach lining and can lead to stomach ulcers or bleeding.

It is best to avoid or strictly limit alcohol when taking oxycodone. Combining alcohol with this medicine significantly increases the risk of dangerous side effects, such as severe drowsiness, breathing difficulties, and a potentially fatal overdose.

Grapefruit juice

Avoid drinking grapefruit juice or eating grapefruit while taking oxycodone. Grapefruit can interfere with how your body breaks down the medicine, leading to higher levels of oxycodone in your blood, which increases the risk of serious side effects.

Food (General)

It is recommended to take ibuprofen with food or a glass of milk to reduce the risk of stomach upset or indigestion.

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Taking multiple medicines? Our Medicines Interaction Checker 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.

Disclaimer

This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.

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Article history

The information on this page is written and peer reviewed by qualified clinicians.

  • 25 Jan 2026 | Originally published
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