Drug interactions
Amitriptyline + Repaglinide
Severity: Minor
Amitriptyline and Repaglinide: minor 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
Amitriptyline may alter glycemic control and could add to the glucose-lowering effect of repaglinide, which can cause hypoglycemia. The effect is expected to be small.
What this interaction means in plain words
Amitriptyline and Repaglinide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Amitriptyline belongs to Central Nervous System; Repaglinide belongs to Endocrine.
Why it happens
Possible additive pharmacodynamic effect on glucose; mechanism not well established.
What to do
Monitor blood glucose after starting or stopping amitriptyline and educate the patient about hypoglycemia. Adjust repaglinide only if needed.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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Other interactions of Amitriptyline
- Amitriptyline + Isocarboxazid Contraindicated
- Amitriptyline + Methylene blue Contraindicated
- Amitriptyline + Phenelzine Contraindicated
- Amitriptyline + Pimozide Contraindicated
- Amitriptyline + Procarbazine Contraindicated
- Amitriptyline + Safinamide Contraindicated
Other interactions of Repaglinide
- Gemfibrozil + Repaglinide Contraindicated
- Clarithromycin + Repaglinide Major
- Clopidogrel + Repaglinide Major
- Cobicistat + Repaglinide Major
- Cyclosporine + Repaglinide Major
- Cyclosporin + Repaglinide Major
Frequently asked questions
Can I take Amitriptyline with Repaglinide?
MediHelp rates the interaction as minor. Amitriptyline and Repaglinide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Amitriptyline may alter glycemic control and could add to the glucose-lowering effect of repaglinide, which can cause hypoglycemia. The effect is expected to be small.
How serious is the interaction between Amitriptyline and Repaglinide?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose after starting or stopping amitriptyline and educate the patient about hypoglycemia. Adjust repaglinide only if needed.
What other medicines interact with Amitriptyline?
MediHelp also lists interactions of Amitriptyline with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Amitriptyline page.
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