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Drug interactions

Dabrafenib + Metformin-repaglinide

Severity: Moderate

Dabrafenib and Metformin-repaglinide: 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

Dabrafenib induces CYP3A4 and CYP2C8, which can lower repaglinide exposure and weaken its glucose-lowering effect. Dabrafenib can also cause hyperglycemia, which may worsen diabetes control.

What this interaction means in plain words

Dabrafenib and Metformin-repaglinide 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.

Dabrafenib belongs to Oncology; Metformin-repaglinide belongs to Endocrine.

Evidence level: Moderate

Why it happens

Induction of CYP3A4 and CYP2C8 by dabrafenib increases repaglinide clearance, and dabrafenib has its own hyperglycemic effect.

What to do

Monitor blood glucose frequently during dabrafenib therapy and increase the repaglinide dose or alter therapy if control worsens. Reassess doses after dabrafenib is stopped.

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 Dabrafenib with Metformin-repaglinide?

MediHelp rates the interaction as moderate. Dabrafenib and Metformin-repaglinide 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. Dabrafenib induces CYP3A4 and CYP2C8, which can lower repaglinide exposure and weaken its glucose-lowering effect. Dabrafenib can also cause hyperglycemia, which may worsen diabetes control.

How serious is the interaction between Dabrafenib and Metformin-repaglinide?

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 frequently during dabrafenib therapy and increase the repaglinide dose or alter therapy if control worsens. Reassess doses after dabrafenib is stopped.

What other medicines interact with Metformin-repaglinide?

MediHelp also lists interactions of Metformin-repaglinide with, for example, Gemfibrozil, Apalutamide, Clarithromycin. The full list is on the Metformin-repaglinide page.

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