Drug interactions
Bexagliflozin + Repaglinide
Severity: Moderate
Bexagliflozin and Repaglinide: 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
Bexagliflozin lowers glucose independently of insulin, and combining it with an insulin secretagogue such as repaglinide raises the risk of hypoglycemia. The risk is greater in patients with tight glycemic control.
What this interaction means in plain words
Bexagliflozin and Repaglinide 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.
Bexagliflozin belongs to Endocrine; Repaglinide belongs to Endocrine.
Why it happens
Additive glucose lowering from SGLT2 inhibition and stimulated insulin secretion.
What to do
Consider lowering the repaglinide dose when bexagliflozin is started and monitor blood glucose.
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 Repaglinide
- Gemfibrozil + Repaglinide Contraindicated
- Clarithromycin + Repaglinide Major
- Clopidogrel + Repaglinide Major
- Cobicistat + Repaglinide Major
- Cyclosporin + Repaglinide Major
- Deferasirox + Repaglinide Major
Other interactions of Bexagliflozin
- Bexagliflozin + Carbamazepine Moderate
- Bexagliflozin + Chlorpropamide Moderate
- Bexagliflozin + Glibenclamide Moderate
- Bexagliflozin + Gliclazide Moderate
- Bexagliflozin + Glimepiride Moderate
- Bexagliflozin + Glimepiride-pioglitazone Moderate
Frequently asked questions
Can I take Bexagliflozin with Repaglinide?
MediHelp rates the interaction as moderate. Bexagliflozin and Repaglinide 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. Bexagliflozin lowers glucose independently of insulin, and combining it with an insulin secretagogue such as repaglinide raises the risk of hypoglycemia. The risk is greater in patients with tight glycemic control.
How serious is the interaction between Bexagliflozin and Repaglinide?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider lowering the repaglinide dose when bexagliflozin is started and monitor blood glucose.
What other medicines interact with Repaglinide?
MediHelp also lists interactions of Repaglinide with, for example, Gemfibrozil, Clarithromycin, Clopidogrel. The full list is on the Repaglinide page.
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