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Drug interactions

Levonorgestrel + Saxagliptin-metformin

Severity: Minor

Levonorgestrel and Saxagliptin-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

Progestins such as levonorgestrel can modestly impair glucose tolerance and insulin sensitivity in some patients. This may slightly weaken glycemic control in people taking saxagliptin-metformin, though the effect is generally small with low-dose contraceptive regimens.

What this interaction means in plain words

Levonorgestrel and Saxagliptin-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.

Levonorgestrel belongs to Endocrine; Saxagliptin-metformin belongs to Endocrine.

Evidence level: Low

Why it happens

Pharmacodynamic antagonism, as progestins may reduce insulin sensitivity and raise glucose.

What to do

No routine change is needed; check fasting glucose or HbA1c after starting or stopping the progestin and adjust antidiabetic therapy if control worsens.

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 Levonorgestrel with Saxagliptin-metformin?

MediHelp rates the interaction as minor. Levonorgestrel and Saxagliptin-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. Progestins such as levonorgestrel can modestly impair glucose tolerance and insulin sensitivity in some patients. This may slightly weaken glycemic control in people taking saxagliptin-metformin, though the effect is generally small with low-dose contraceptive regimens.

How serious is the interaction between Levonorgestrel and Saxagliptin-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 routine change is needed; check fasting glucose or HbA1c after starting or stopping the progestin and adjust antidiabetic therapy if control worsens.

What other medicines interact with Saxagliptin-metformin?

MediHelp also lists interactions of Saxagliptin-metformin with, for example, Atazanavir, Clozapine, Contrast media. The full list is on the Saxagliptin-metformin page.

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

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