Drug interactions
Atazanavir + Miglitol
Severity: Minor
Atazanavir and Miglitol: 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
Atazanavir has less effect on glucose than older protease inhibitors, but hyperglycemia and diabetes have been reported with the class. Glycemic control with miglitol could therefore worsen.
What this interaction means in plain words
Atazanavir and Miglitol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Atazanavir belongs to Anti Virals; Miglitol belongs to Endocrine.
Why it happens
Pharmacodynamic antagonism through possible protease inhibitor-related insulin resistance.
What to do
Monitor blood glucose after starting atazanavir. Adjust antidiabetic therapy if control worsens.
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 Miglitol
- Miglitol + Pramlintide Major
- Aripiprazole + Miglitol Moderate
- Asenapine + Miglitol Moderate
- Chlorthalidone + Miglitol Moderate
- Clozapine + Miglitol Moderate
- Cortisone + Miglitol Moderate
Other interactions of Atazanavir
- Alfuzosin + Atazanavir Contraindicated
- Atazanavir + Avanafil Contraindicated
- Atazanavir + Dronedarone Contraindicated
- Atazanavir + Eletriptan Contraindicated
- Atazanavir + Eplerenone Contraindicated
- Atazanavir + Ergotamine Contraindicated
Frequently asked questions
Can I take Atazanavir with Miglitol?
MediHelp rates the interaction as minor. Atazanavir and Miglitol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Atazanavir has less effect on glucose than older protease inhibitors, but hyperglycemia and diabetes have been reported with the class. Glycemic control with miglitol could therefore worsen.
How serious is the interaction between Atazanavir and Miglitol?
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 atazanavir. Adjust antidiabetic therapy if control worsens.
What other medicines interact with Miglitol?
MediHelp also lists interactions of Miglitol with, for example, Pramlintide, Aripiprazole, Asenapine. The full list is on the Miglitol page.
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