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Drug interactions

Chlorothiazide + Saxagliptin

Severity: Minor

Chlorothiazide and Saxagliptin: 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, particularly at higher doses, and may blunt the effect of saxagliptin.

What this interaction means in plain words

Chlorothiazide and Saxagliptin 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; Saxagliptin belongs to Endocrine.

Evidence level: Moderate

Why it happens

Pharmacodynamic antagonism: thiazides reduce insulin secretion and sensitivity.

What to do

Monitor blood glucose after starting or increasing the thiazide. Adjust the antidiabetic regimen if needed.

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 Saxagliptin?

MediHelp rates the interaction as minor. Chlorothiazide and Saxagliptin 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, particularly at higher doses, and may blunt the effect of saxagliptin.

How serious is the interaction between Chlorothiazide and Saxagliptin?

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 after starting or increasing the thiazide. Adjust the antidiabetic regimen if needed.

What other medicines interact with Saxagliptin?

MediHelp also lists interactions of Saxagliptin with, for example, Albiglutide, Amlodipine-benazepril, Aripiprazole. The full list is on the Saxagliptin 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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