Skip to content

Drug interactions

Dapagliflozin + Tolazamide

Severity: Moderate

Dapagliflozin and Tolazamide: 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 increases the risk of hypoglycemia. Sulfonylurea dose reduction is often appropriate.

What this interaction means in plain words

Dapagliflozin and Tolazamide 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; Tolazamide 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 tolazamide dose when starting dapagliflozin and monitor blood glucose closely.

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.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Dapagliflozin and Tolazamide, the additional notes, the evidence detail and the whole-prescription interaction checker.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Try Pro+ free for 7 days on the web. No card needed.

Frequently asked questions

Can I take Dapagliflozin with Tolazamide?

MediHelp rates the interaction as moderate. Dapagliflozin and Tolazamide 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 increases the risk of hypoglycemia. Sulfonylurea dose reduction is often appropriate.

How serious is the interaction between Dapagliflozin and Tolazamide?

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 tolazamide dose when starting dapagliflozin and monitor blood glucose closely.

What other medicines interact with Tolazamide?

MediHelp also lists interactions of Tolazamide with, for example, Disopyramide, Insulin degludec-liraglutide, Aceclofenac. The full list is on the Tolazamide page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

Browse A–Z · Drug interactions

Get the app Sign in