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Drug interactions

Ertugliflozin-sitagliptin + Repaglinide

Severity: Moderate

Ertugliflozin-sitagliptin 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

Combining repaglinide, an insulin secretagogue, with ertugliflozin and sitagliptin may increase the risk of hypoglycemia. The risk is greater when meals are irregular.

What this interaction means in plain words

Ertugliflozin-sitagliptin 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.

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

Evidence level: Moderate

Why it happens

Additive glucose-lowering effects through enhanced insulin secretion and increased urinary glucose excretion.

What to do

Consider reducing the repaglinide dose and monitor blood glucose, advising patients to take it only with meals.

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 Repaglinide?

MediHelp rates the interaction as moderate. Ertugliflozin-sitagliptin 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. Combining repaglinide, an insulin secretagogue, with ertugliflozin and sitagliptin may increase the risk of hypoglycemia. The risk is greater when meals are irregular.

How serious is the interaction between Ertugliflozin-sitagliptin 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: Consider reducing the repaglinide dose and monitor blood glucose, advising patients to take it only with meals.

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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