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Drug interactions

Diazoxide + Metformin

Severity: Moderate

Diazoxide and Metformin: 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

Diazoxide suppresses insulin secretion and causes hyperglycemia, directly opposing the effect of metformin. Glycemic control may deteriorate substantially.

What this interaction means in plain words

Diazoxide and Metformin 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.

Diazoxide belongs to Miscellaneous; Metformin belongs to Endocrine.

Evidence level: High

Why it happens

Diazoxide opens pancreatic beta-cell KATP channels, inhibiting insulin release and counteracting metformin.

What to do

Monitor blood glucose closely and increase antidiabetic therapy as needed. Reassess doses if diazoxide is stopped.

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 Diazoxide with Metformin?

MediHelp rates the interaction as moderate. Diazoxide and Metformin 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. Diazoxide suppresses insulin secretion and causes hyperglycemia, directly opposing the effect of metformin. Glycemic control may deteriorate substantially.

How serious is the interaction between Diazoxide and Metformin?

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 closely and increase antidiabetic therapy as needed. Reassess doses if diazoxide is stopped.

What other medicines interact with Metformin?

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

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