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Drug interactions

Ertugliflozin-sitagliptin + Liraglutide

Severity: Moderate

Ertugliflozin-sitagliptin and Liraglutide: 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

Liraglutide and sitagliptin both act on the incretin system, so combining them offers little added benefit, and with ertugliflozin the glucose-lowering effects are additive. Hypoglycemia is uncommon but can occur, especially with sulfonylureas or insulin.

What this interaction means in plain words

Ertugliflozin-sitagliptin and Liraglutide 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.

Ertugliflozin-sitagliptin belongs to Endocrine; Liraglutide belongs to Endocrine.

Evidence level: Moderate

Why it happens

Duplicate incretin pathway enhancement (GLP-1 receptor agonism plus DPP-4 inhibition) with additive SGLT2-mediated glucose lowering.

What to do

Avoid combining a GLP-1 agonist with a DPP-4 inhibitor where possible, and consider stopping the sitagliptin component. If used, monitor glucose and review other hypoglycemic agents.

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 Ertugliflozin-sitagliptin with Liraglutide?

MediHelp rates the interaction as moderate. Ertugliflozin-sitagliptin and Liraglutide 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. Liraglutide and sitagliptin both act on the incretin system, so combining them offers little added benefit, and with ertugliflozin the glucose-lowering effects are additive. Hypoglycemia is uncommon but can occur, especially with sulfonylureas or insulin.

How serious is the interaction between Ertugliflozin-sitagliptin and Liraglutide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining a GLP-1 agonist with a DPP-4 inhibitor where possible, and consider stopping the sitagliptin component. If used, monitor glucose and review other hypoglycemic agents.

What other medicines interact with Ertugliflozin-sitagliptin?

MediHelp also lists interactions of Ertugliflozin-sitagliptin with, for example, Albiglutide, Aripiprazole, Asenapine. The full list is on the Ertugliflozin-sitagliptin page.

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