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Drug interactions

Chlorpromazine + Linagliptin-metformin

Severity: Moderate

Chlorpromazine 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

Chlorpromazine can cause hyperglycemia and weight gain and may reduce the effectiveness of metformin and linagliptin. Glycemic control can worsen, and may improve again when chlorpromazine is stopped.

What this interaction means in plain words

Chlorpromazine 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.

Chlorpromazine belongs to Central Nervous System; Linagliptin-metformin belongs to Endocrine.

Evidence level: Moderate

Why it happens

Pharmacodynamic antagonism through antipsychotic-induced insulin resistance and impaired insulin secretion.

What to do

Monitor blood glucose regularly and adjust antidiabetic doses as required; recheck control when chlorpromazine is withdrawn.

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 Chlorpromazine with Linagliptin-metformin?

MediHelp rates the interaction as moderate. Chlorpromazine 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. Chlorpromazine can cause hyperglycemia and weight gain and may reduce the effectiveness of metformin and linagliptin. Glycemic control can worsen, and may improve again when chlorpromazine is stopped.

How serious is the interaction between Chlorpromazine 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 regularly and adjust antidiabetic doses as required; recheck control when chlorpromazine is withdrawn.

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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