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Drug interactions

Dapagliflozin-metformin + Folic acid

Severity: Minor

Dapagliflozin-metformin and Folic acid: 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

Metformin has been associated with lower serum folate in some studies, though clinical deficiency is uncommon. Folic acid supplementation does not affect metformin efficacy.

What this interaction means in plain words

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

Dapagliflozin-metformin belongs to Endocrine; Folic acid belongs to Miscellaneous.

Evidence level: Low

Why it happens

The mechanism is not established; altered intestinal absorption has been proposed.

What to do

No routine action needed; check folate if macrocytic anemia occurs and supplement if low.

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 Dapagliflozin-metformin with Folic acid?

MediHelp rates the interaction as minor. Dapagliflozin-metformin and Folic acid have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Metformin has been associated with lower serum folate in some studies, though clinical deficiency is uncommon. Folic acid supplementation does not affect metformin efficacy.

How serious is the interaction between Dapagliflozin-metformin and Folic acid?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine action needed; check folate if macrocytic anemia occurs and supplement if low.

What other medicines interact with Dapagliflozin-metformin?

MediHelp also lists interactions of Dapagliflozin-metformin with, for example, Contrast media, Diatrizoate, Diatrizoate meglumine / diatrizoate. The full list is on the Dapagliflozin-metformin page.

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