diff --git a/litellm-proxy-extras/litellm_proxy_extras/utils.py b/litellm-proxy-extras/litellm_proxy_extras/utils.py
index 2930c128c8d..30aba6b1f49 100644
--- a/litellm-proxy-extras/litellm_proxy_extras/utils.py
+++ b/litellm-proxy-extras/litellm_proxy_extras/utils.py
@@ -230,7 +230,6 @@ class ProxyExtrasDBManager:
         idempotent_patterns = [
             r"already exists",
             r"column .* already exists",
-            r"duplicate key value violates",
             r"relation .* already exists",
             r"constraint .* already exists",
             r"does not exist",
diff --git a/tests/litellm-proxy-extras/test_litellm_proxy_extras_utils.py b/tests/litellm-proxy-extras/test_litellm_proxy_extras_utils.py
index a8eff29b17b..38890ff8c5e 100644
--- a/tests/litellm-proxy-extras/test_litellm_proxy_extras_utils.py
+++ b/tests/litellm-proxy-extras/test_litellm_proxy_extras_utils.py
@@ -86,10 +86,10 @@ class TestIdempotentErrorDetection:
         error_message = "column 'email' already exists"
         assert ProxyExtrasDBManager._is_idempotent_error(error_message) is True
 
-    def test_is_idempotent_error_duplicate_key(self):
-        """Test detection of duplicate key violation error"""
+    def test_duplicate_key_violation_not_idempotent(self):
+        """Duplicate key violations (e.g., CREATE INDEX with duplicate data) are NOT idempotent"""
         error_message = "duplicate key value violates unique constraint"
-        assert ProxyExtrasDBManager._is_idempotent_error(error_message) is True
+        assert ProxyExtrasDBManager._is_idempotent_error(error_message) is False
 
     def test_is_idempotent_error_relation_already_exists(self):
         """Test detection of 'relation already exists' error"""