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Drug interactions

Gliclazide + Lofepramine

Severity: Minor

Gliclazide and Lofepramine: 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

Tricyclic antidepressants such as lofepramine may alter glycaemic control and occasionally enhance the effect of sulfonylureas. The clinical effect is generally small.

What this interaction means in plain words

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

Evidence level: Low

Why it happens

The mechanism is not well established; tricyclics may influence insulin sensitivity and glucose regulation.

What to do

Monitor blood glucose when lofepramine is started or stopped and adjust gliclazide if hypoglycaemia occurs.

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 Gliclazide with Lofepramine?

MediHelp rates the interaction as minor. Gliclazide and Lofepramine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Tricyclic antidepressants such as lofepramine may alter glycaemic control and occasionally enhance the effect of sulfonylureas. The clinical effect is generally small.

How serious is the interaction between Gliclazide and Lofepramine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose when lofepramine is started or stopped and adjust gliclazide if hypoglycaemia occurs.

What other medicines interact with Gliclazide?

MediHelp also lists interactions of Gliclazide with, for example, Ciprofloxacin, Clarithromycin, Disopyramide. The full list is on the Gliclazide page.

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