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Drug interactions

Chlorpropamide + Dapagliflozin

Severity: Moderate

Chlorpropamide and Dapagliflozin: 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

Dapagliflozin added to chlorpropamide increases hypoglycemia risk. Chlorpropamide's long duration of action may make hypoglycemia prolonged.

What this interaction means in plain words

Chlorpropamide and Dapagliflozin 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.

Chlorpropamide belongs to Endocrine; Dapagliflozin belongs to Endocrine.

Evidence level: High

Why it happens

Additive glucose lowering from sulfonylurea-stimulated insulin secretion and SGLT2-mediated glucosuria.

What to do

Consider reducing the chlorpropamide dose when starting dapagliflozin and monitor blood glucose closely, especially in older or renally impaired patients.

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 Chlorpropamide with Dapagliflozin?

MediHelp rates the interaction as moderate. Chlorpropamide and Dapagliflozin 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. Dapagliflozin added to chlorpropamide increases hypoglycemia risk. Chlorpropamide's long duration of action may make hypoglycemia prolonged.

How serious is the interaction between Chlorpropamide and Dapagliflozin?

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 reducing the chlorpropamide dose when starting dapagliflozin and monitor blood glucose closely, especially in older or renally impaired patients.

What other medicines interact with Chlorpropamide?

MediHelp also lists interactions of Chlorpropamide with, for example, Ethanol, Exenatide, Insulin degludec-insulin aspart. The full list is on the Chlorpropamide page.

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

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