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Drug interactions

Ceritinib + Linagliptin-metformin

Severity: Moderate

Ceritinib and Linagliptin-metformin: 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

Ceritinib commonly causes hyperglycemia, which can work against the glucose-lowering effect of the linagliptin-metformin combination. Ceritinib is also a CYP3A4 inhibitor, but the effect on linagliptin exposure is expected to be modest and of limited importance.

What this interaction means in plain words

Ceritinib and Linagliptin-metformin 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.

Ceritinib belongs to Oncology; Linagliptin-metformin belongs to Endocrine.

Evidence level: Low

Why it happens

Ceritinib-associated hyperglycemia opposes antidiabetic therapy, and ceritinib may weakly raise linagliptin levels through CYP3A4 and P-gp inhibition.

What to do

Monitor blood glucose and HbA1c during ceritinib therapy and intensify antidiabetic treatment if glycemic control worsens.

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 Ceritinib with Linagliptin-metformin?

MediHelp rates the interaction as moderate. Ceritinib and Linagliptin-metformin 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. Ceritinib commonly causes hyperglycemia, which can work against the glucose-lowering effect of the linagliptin-metformin combination. Ceritinib is also a CYP3A4 inhibitor, but the effect on linagliptin exposure is expected to be modest and of limited importance.

How serious is the interaction between Ceritinib and Linagliptin-metformin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose and HbA1c during ceritinib therapy and intensify antidiabetic treatment if glycemic control worsens.

What other medicines interact with Linagliptin-metformin?

MediHelp also lists interactions of Linagliptin-metformin with, for example, Apalutamide, Carbamazepine, Contrast media. The full list is on the Linagliptin-metformin page.

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