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Drug interactions

Fosaprepitant + Linagliptin-metformin

Severity: Minor

Fosaprepitant and Linagliptin-metformin: minor 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

Fosaprepitant, a prodrug of aprepitant, is a weak-to-moderate CYP3A4 inhibitor after a single dose. Linagliptin exposure may rise slightly, but this is unlikely to matter clinically given its wide safety margin.

What this interaction means in plain words

Fosaprepitant and Linagliptin-metformin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Fosaprepitant belongs to Gastrointestinal Tract; Linagliptin-metformin belongs to Endocrine.

Evidence level: Low

Why it happens

Transient CYP3A4 inhibition by aprepitant slightly reduces linagliptin metabolism.

What to do

No dose adjustment is needed with single-dose use; monitor for linagliptin adverse effects only if exposure is prolonged.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Fosaprepitant with Linagliptin-metformin?

MediHelp rates the interaction as minor. Fosaprepitant and Linagliptin-metformin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Fosaprepitant, a prodrug of aprepitant, is a weak-to-moderate CYP3A4 inhibitor after a single dose. Linagliptin exposure may rise slightly, but this is unlikely to matter clinically given its wide safety margin.

How serious is the interaction between Fosaprepitant and Linagliptin-metformin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose adjustment is needed with single-dose use; monitor for linagliptin adverse effects only if exposure is prolonged.

What other medicines interact with Linagliptin-metformin?

MediHelp also lists interactions of Linagliptin-metformin with, for example, Apalutamide, Carbamazepine, Contrast media. The full list is on the Linagliptin-metformin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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