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Drug interactions

Bendroflumethiazide + Dapagliflozin-metformin

Severity: Minor

Bendroflumethiazide and Dapagliflozin-metformin: 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

Thiazide diuretics can raise blood glucose and may reduce the effectiveness of antidiabetic drugs, mainly at higher doses. Volume depletion may also add to the effects of dapagliflozin.

What this interaction means in plain words

Bendroflumethiazide and Dapagliflozin-metformin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Moderate

Why it happens

Thiazides cause hypokalemia and impaired insulin secretion and sensitivity, opposing glucose-lowering therapy.

What to do

Monitor glucose control and potassium after starting or increasing the thiazide dose. Watch for volume depletion because of the combined diuretic effect with dapagliflozin.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Bendroflumethiazide with Dapagliflozin-metformin?

MediHelp rates the interaction as minor. Bendroflumethiazide and Dapagliflozin-metformin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Thiazide diuretics can raise blood glucose and may reduce the effectiveness of antidiabetic drugs, mainly at higher doses. Volume depletion may also add to the effects of dapagliflozin.

How serious is the interaction between Bendroflumethiazide and Dapagliflozin-metformin?

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 glucose control and potassium after starting or increasing the thiazide dose. Watch for volume depletion because of the combined diuretic effect with dapagliflozin.

What other medicines interact with Dapagliflozin-metformin?

MediHelp also lists interactions of Dapagliflozin-metformin with, for example, Contrast media, Diatrizoate, Diatrizoate meglumine / diatrizoate. The full list is on the Dapagliflozin-metformin page.

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