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Drug interactions

Chlorpropamide + Fludrocortisone

Severity: Minor

Chlorpropamide and Fludrocortisone: 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

Fludrocortisone has mild glucocorticoid activity that may raise blood glucose and reduce chlorpropamide's effect. The impact at typical doses is usually small but may matter in unstable diabetes.

What this interaction means in plain words

Chlorpropamide and Fludrocortisone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Chlorpropamide belongs to Endocrine; Fludrocortisone belongs to Endocrine.

Evidence level: Low

Why it happens

Pharmacodynamic antagonism: corticosteroid-induced insulin resistance and increased hepatic glucose output.

What to do

Monitor blood glucose when fludrocortisone is started or its dose changed. Adjust chlorpropamide 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 Chlorpropamide with Fludrocortisone?

MediHelp rates the interaction as minor. Chlorpropamide and Fludrocortisone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Fludrocortisone has mild glucocorticoid activity that may raise blood glucose and reduce chlorpropamide's effect. The impact at typical doses is usually small but may matter in unstable diabetes.

How serious is the interaction between Chlorpropamide and Fludrocortisone?

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 when fludrocortisone is started or its dose changed. Adjust chlorpropamide if needed.

What other medicines interact with Fludrocortisone?

MediHelp also lists interactions of Fludrocortisone with, for example, Mifepristone, Aldesleukin, Amphotericin b. The full list is on the Fludrocortisone page.

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

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