Drug interactions
Amiloride + Empagliflozin-linagliptin
Severity: Moderate
Amiloride and Empagliflozin-linagliptin: moderate interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Empagliflozin has an osmotic diuretic and natriuretic effect, and amiloride adds further sodium and water loss. Together they can increase the risk of volume depletion, hypotension and renal function decline, especially in older or frail patients.
What this interaction means in plain words
Amiloride and Empagliflozin-linagliptin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Amiloride belongs to Cardiovascular; Empagliflozin-linagliptin belongs to Endocrine.
Why it happens
Additive diuretic and natriuretic effects.
What to do
Assess volume status, blood pressure, renal function and electrolytes (including potassium) when starting the combination. Consider reducing the diuretic dose if volume depletion occurs.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Empagliflozin-linagliptin
Other interactions of Amiloride
- Amiloride + Eplerenone Contraindicated
- Amiloride + Spironolactone Contraindicated
- Amiloride + Triamterene Contraindicated
- Aceclofenac + Amiloride Major
- Acemetacin + Amiloride Major
- Amiloride + Amlodipine-benazepril Major
Frequently asked questions
Can I take Amiloride with Empagliflozin-linagliptin?
MediHelp rates the interaction as moderate. Amiloride and Empagliflozin-linagliptin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Empagliflozin has an osmotic diuretic and natriuretic effect, and amiloride adds further sodium and water loss. Together they can increase the risk of volume depletion, hypotension and renal function decline, especially in older or frail patients.
How serious is the interaction between Amiloride and Empagliflozin-linagliptin?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Assess volume status, blood pressure, renal function and electrolytes (including potassium) when starting the combination. Consider reducing the diuretic dose if volume depletion occurs.
What other medicines interact with Empagliflozin-linagliptin?
MediHelp also lists interactions of Empagliflozin-linagliptin with, for example, Fosphenytoin, Rifampin, Rifapentine. The full list is on the Empagliflozin-linagliptin page.
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