Drug interactions
Ertugliflozin-sitagliptin + Tolazamide
Severity: Moderate
Ertugliflozin-sitagliptin and Tolazamide: 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
Adding ertugliflozin and sitagliptin to a sulfonylurea increases the risk of hypoglycemia. Elderly and renally impaired patients are particularly vulnerable.
What this interaction means in plain words
Ertugliflozin-sitagliptin and Tolazamide 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; Tolazamide belongs to Endocrine.
Why it happens
Additive glucose-lowering effects, with insulin secretion stimulated by the sulfonylurea and sitagliptin.
What to do
Consider lowering the tolazamide dose when starting the combination and monitor blood glucose.
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?
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Other interactions of Ertugliflozin-sitagliptin
Other interactions of Tolazamide
- Disopyramide + Tolazamide Major
- Insulin degludec-liraglutide + Tolazamide Major
- Aceclofenac + Tolazamide Moderate
- Acemetacin + Tolazamide Moderate
- Acetylsalicylic acid + Tolazamide Moderate
- Albiglutide + Tolazamide Moderate
Frequently asked questions
Can I take Ertugliflozin-sitagliptin with Tolazamide?
MediHelp rates the interaction as moderate. Ertugliflozin-sitagliptin and Tolazamide 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. Adding ertugliflozin and sitagliptin to a sulfonylurea increases the risk of hypoglycemia. Elderly and renally impaired patients are particularly vulnerable.
How serious is the interaction between Ertugliflozin-sitagliptin and Tolazamide?
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 lowering the tolazamide dose when starting the combination and monitor blood glucose.
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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