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Drug interactions

Imipramine + Pioglitazone

Severity: Minor

Imipramine and Pioglitazone: 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 can alter glucose control, so the effect of pioglitazone may be modestly changed. Pioglitazone alone rarely causes hypoglycemia, so the clinical impact is generally small.

What this interaction means in plain words

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

Imipramine belongs to Central Nervous System; Pioglitazone belongs to Endocrine.

Evidence level: Low

Why it happens

Tricyclics may alter glucose homeostasis through a poorly characterized pharmacodynamic effect.

What to do

Monitor blood glucose when imipramine is started or stopped and adjust antidiabetic therapy if control changes.

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 Imipramine with Pioglitazone?

MediHelp rates the interaction as minor. Imipramine and Pioglitazone 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 can alter glucose control, so the effect of pioglitazone may be modestly changed. Pioglitazone alone rarely causes hypoglycemia, so the clinical impact is generally small.

How serious is the interaction between Imipramine and Pioglitazone?

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 imipramine is started or stopped and adjust antidiabetic therapy if control changes.

What other medicines interact with Imipramine?

MediHelp also lists interactions of Imipramine with, for example, Dronedarone, Isocarboxazid, Phenelzine. The full list is on the Imipramine page.

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

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