Drug interactions
Dapagliflozin + Gliclazide
Severity: Moderate
Dapagliflozin and Gliclazide: 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 a sulfonylurea such as gliclazide increases the risk of hypoglycemia. The SGLT2 inhibitor lowers glucose without stimulating insulin, so the effects are additive.
What this interaction means in plain words
Dapagliflozin and Gliclazide 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 belongs to Endocrine; Gliclazide belongs to Endocrine.
Why it happens
Additive glucose lowering from sulfonylurea insulin secretion plus SGLT2-mediated urinary glucose excretion.
What to do
Consider reducing the gliclazide dose when dapagliflozin is started and monitor blood glucose closely during initiation.
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?
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Other interactions of Gliclazide
Other interactions of Dapagliflozin
- Chlorpropamide + Dapagliflozin Moderate
- Dapagliflozin + Glimepiride Moderate
- Dapagliflozin + Glimepiride-pioglitazone Moderate
- Dapagliflozin + Glipizide Moderate
- Dapagliflozin + Glipizide-metformin Moderate
- Dapagliflozin + Glyburide Moderate
Frequently asked questions
Can I take Dapagliflozin with Gliclazide?
MediHelp rates the interaction as moderate. Dapagliflozin and Gliclazide 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 a sulfonylurea such as gliclazide increases the risk of hypoglycemia. The SGLT2 inhibitor lowers glucose without stimulating insulin, so the effects are additive.
How serious is the interaction between Dapagliflozin and Gliclazide?
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 gliclazide dose when dapagliflozin is started and monitor blood glucose closely during initiation.
What other medicines interact with Gliclazide?
MediHelp also lists interactions of Gliclazide with, for example, Ciprofloxacin, Clarithromycin, Disopyramide. The full list is on the Gliclazide page.
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