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Drug interactions

Dapagliflozin-metformin + Givinostat

Severity: Minor

Dapagliflozin-metformin and Givinostat: 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

Givinostat is a weak inhibitor of the renal transporters that clear metformin, which could slightly raise metformin exposure. The clinical impact is expected to be small.

What this interaction means in plain words

Dapagliflozin-metformin and Givinostat 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; Givinostat belongs to Miscellaneous.

Evidence level: Low

Why it happens

Weak inhibition of renal cationic transporters reduces metformin tubular secretion.

What to do

Monitor for metformin adverse effects and renal function. Reduce the metformin dose if tolerability worsens.

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 Givinostat?

MediHelp rates the interaction as minor. Dapagliflozin-metformin and Givinostat have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Givinostat is a weak inhibitor of the renal transporters that clear metformin, which could slightly raise metformin exposure. The clinical impact is expected to be small.

How serious is the interaction between Dapagliflozin-metformin and Givinostat?

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 for metformin adverse effects and renal function. Reduce the metformin dose if tolerability worsens.

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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