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Drug interactions

Deflazacort + Repaglinide

Severity: Moderate

Deflazacort and Repaglinide: 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

Deflazacort is a glucocorticoid that raises blood glucose and may reduce the effect of repaglinide. Loss of glycemic control is more likely with higher doses or prolonged use.

What this interaction means in plain words

Deflazacort and Repaglinide 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.

Deflazacort belongs to Miscellaneous; Repaglinide belongs to Endocrine.

Evidence level: Moderate

Why it happens

Pharmacodynamic antagonism: glucocorticoids increase gluconeogenesis and insulin resistance.

What to do

Monitor blood glucose when starting or increasing deflazacort and adjust antidiabetic therapy as needed. Watch for hypoglycemia when the steroid is tapered.

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 Deflazacort with Repaglinide?

MediHelp rates the interaction as moderate. Deflazacort and Repaglinide 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. Deflazacort is a glucocorticoid that raises blood glucose and may reduce the effect of repaglinide. Loss of glycemic control is more likely with higher doses or prolonged use.

How serious is the interaction between Deflazacort and Repaglinide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose when starting or increasing deflazacort and adjust antidiabetic therapy as needed. Watch for hypoglycemia when the steroid is tapered.

What other medicines interact with Repaglinide?

MediHelp also lists interactions of Repaglinide with, for example, Gemfibrozil, Clarithromycin, Clopidogrel. The full list is on the Repaglinide page.

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

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