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Drug interactions

Chlorothiazide + Linagliptin-metformin

Severity: Minor

Chlorothiazide and Linagliptin-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

Chlorothiazide can raise blood glucose and worsen glycemic control. This may blunt the effect of metformin and linagliptin.

What this interaction means in plain words

Chlorothiazide and Linagliptin-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.

Chlorothiazide belongs to Cardiovascular; Linagliptin-metformin belongs to Endocrine.

Evidence level: Moderate

Why it happens

Thiazide-induced hypokalemia and impaired insulin secretion and sensitivity oppose antidiabetic effects.

What to do

Monitor blood glucose and potassium after starting chlorothiazide. Adjust the antidiabetic dose if control deteriorates.

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 Chlorothiazide with Linagliptin-metformin?

MediHelp rates the interaction as minor. Chlorothiazide and Linagliptin-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. Chlorothiazide can raise blood glucose and worsen glycemic control. This may blunt the effect of metformin and linagliptin.

How serious is the interaction between Chlorothiazide and Linagliptin-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 blood glucose and potassium after starting chlorothiazide. Adjust the antidiabetic dose if control deteriorates.

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.

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

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