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Drug interactions

Gliclazide + Sotagliflozin

Severity: Moderate

Gliclazide and Sotagliflozin: 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

Sotagliflozin used with gliclazide raises the risk of hypoglycemia because their glucose-lowering effects are additive.

What this interaction means in plain words

Gliclazide and Sotagliflozin 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.

Gliclazide belongs to Endocrine; Sotagliflozin belongs to Endocrine.

Evidence level: Moderate

Why it happens

Additive glucose lowering from SGLT inhibition and sulfonylurea-stimulated insulin secretion.

What to do

Consider reducing the gliclazide dose when starting sotagliflozin, and monitor 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?

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 Sotagliflozin?

MediHelp rates the interaction as moderate. Gliclazide and Sotagliflozin 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. Sotagliflozin used with gliclazide raises the risk of hypoglycemia because their glucose-lowering effects are additive.

How serious is the interaction between Gliclazide and Sotagliflozin?

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 gliclazide dose when starting sotagliflozin, and monitor glucose.

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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