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Drug interactions

Indinavir + Rosiglitazone

Severity: Moderate

Indinavir and Rosiglitazone: 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

Indinavir is associated with insulin resistance and hyperglycemia, which may blunt the glucose-lowering effect of rosiglitazone. Worsened glycemic control may be seen after initiation.

What this interaction means in plain words

Indinavir and Rosiglitazone 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.

Evidence level: Moderate

Why it happens

Pharmacodynamic antagonism from protease inhibitor-induced insulin resistance, possibly via impaired GLUT4 glucose uptake.

What to do

Monitor fasting glucose and HbA1c after starting indinavir. Increase antidiabetic therapy if needed.

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 Indinavir with Rosiglitazone?

MediHelp rates the interaction as moderate. Indinavir and Rosiglitazone 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. Indinavir is associated with insulin resistance and hyperglycemia, which may blunt the glucose-lowering effect of rosiglitazone. Worsened glycemic control may be seen after initiation.

How serious is the interaction between Indinavir and Rosiglitazone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor fasting glucose and HbA1c after starting indinavir. Increase antidiabetic therapy if needed.

What other medicines interact with Rosiglitazone?

MediHelp also lists interactions of Rosiglitazone with, for example, Insulin aspart protamine / insulin aspart, Insulin aspart-insulin aspart protamine, Insulin aspart. The full list is on the Rosiglitazone page.

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