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Drug interactions

Dapagliflozin-metformin + Nateglinide

Severity: Moderate

Dapagliflozin-metformin and Nateglinide: 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

Combining dapagliflozin-metformin with nateglinide, an insulin secretagogue, increases the risk of hypoglycemia.

What this interaction means in plain words

Dapagliflozin-metformin and Nateglinide 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-metformin belongs to Endocrine; Nateglinide belongs to Endocrine.

Evidence level: Moderate

Why it happens

Additive glucose-lowering through insulin secretion and complementary antihyperglycemic mechanisms.

What to do

Consider lowering the nateglinide dose when starting dapagliflozin-metformin and monitor blood glucose.

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.

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Frequently asked questions

Can I take Dapagliflozin-metformin with Nateglinide?

MediHelp rates the interaction as moderate. Dapagliflozin-metformin and Nateglinide 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. Combining dapagliflozin-metformin with nateglinide, an insulin secretagogue, increases the risk of hypoglycemia.

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

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 lowering the nateglinide dose when starting dapagliflozin-metformin and monitor blood glucose.

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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