Drug interactions
Empagliflozin-linagliptin + Rifapentine
Severity: Major
Empagliflozin-linagliptin and Rifapentine: major 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
Rifapentine is an inducer of CYP3A4 and P-gp and is expected to reduce linagliptin exposure like rifampin. This may lessen glycemic control.
What this interaction means in plain words
Empagliflozin-linagliptin and Rifapentine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Empagliflozin-linagliptin belongs to Endocrine; Rifapentine belongs to Anti Bacterial.
Why it happens
Induction of CYP3A4 and P-gp by rifapentine increases linagliptin elimination.
What to do
Prefer an alternative antidiabetic agent during rifapentine therapy; otherwise monitor blood glucose frequently.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Empagliflozin-linagliptin
Other interactions of Rifapentine
- Ledipasvir-sofosbuvir + Rifapentine Contraindicated
- Lorlatinib + Rifapentine Contraindicated
- Lurasidone + Rifapentine Contraindicated
- Ranolazine + Rifapentine Contraindicated
- Rifapentine + Sofosbuvir-velpatasvir Contraindicated
- Rifapentine + Sofosbuvir-velpatasvir-voxilaprevir Contraindicated
Frequently asked questions
Can I take Empagliflozin-linagliptin with Rifapentine?
MediHelp rates the interaction as major. Empagliflozin-linagliptin and Rifapentine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Rifapentine is an inducer of CYP3A4 and P-gp and is expected to reduce linagliptin exposure like rifampin. This may lessen glycemic control.
How serious is the interaction between Empagliflozin-linagliptin and Rifapentine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer an alternative antidiabetic agent during rifapentine therapy; otherwise monitor blood glucose frequently.
What other medicines interact with Empagliflozin-linagliptin?
MediHelp also lists interactions of Empagliflozin-linagliptin with, for example, Fosphenytoin, Rifampin, Amiloride. The full list is on the Empagliflozin-linagliptin page.
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