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Drug interactions

Bexagliflozin + Tolazamide

Severity: Moderate

Bexagliflozin and Tolazamide: 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 adds glucose lowering to sulfonylureas and can increase the risk of hypoglycemia.

What this interaction means in plain words

Bexagliflozin and Tolazamide 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; Tolazamide belongs to Endocrine.

Evidence level: High

Why it happens

Additive effect of insulin secretion stimulation and insulin-independent urinary glucose excretion.

What to do

Consider lowering the tolazamide dose when starting bexagliflozin 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?

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 Bexagliflozin with Tolazamide?

MediHelp rates the interaction as moderate. Bexagliflozin and Tolazamide 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 adds glucose lowering to sulfonylureas and can increase the risk of hypoglycemia.

How serious is the interaction between Bexagliflozin and Tolazamide?

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 tolazamide dose when starting bexagliflozin and monitor blood glucose.

What other medicines interact with Tolazamide?

MediHelp also lists interactions of Tolazamide with, for example, Disopyramide, Insulin degludec-liraglutide, Aceclofenac. The full list is on the Tolazamide page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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