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Drug interactions

Dapagliflozin-metformin + Lurasidone

Severity: Minor

Dapagliflozin-metformin and Lurasidone: 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

Atypical antipsychotics can cause hyperglycemia and metabolic disturbance, which may counteract the glucose-lowering effect of the antidiabetic combination. Lurasidone has a relatively small metabolic effect compared with other agents in its class, but glycemic control can still shift.

What this interaction means in plain words

Dapagliflozin-metformin and Lurasidone 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; Lurasidone belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Pharmacodynamic antagonism through antipsychotic-related insulin resistance and impaired glucose regulation.

What to do

Monitor fasting glucose and HbA1c after starting lurasidone and adjust antidiabetic therapy if control 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 Lurasidone?

MediHelp rates the interaction as minor. Dapagliflozin-metformin and Lurasidone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Atypical antipsychotics can cause hyperglycemia and metabolic disturbance, which may counteract the glucose-lowering effect of the antidiabetic combination. Lurasidone has a relatively small metabolic effect compared with other agents in its class, but glycemic control can still shift.

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

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 fasting glucose and HbA1c after starting lurasidone and adjust antidiabetic therapy if control 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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