Skip to content

Drug interactions

Linagliptin + Pioglitazone

Severity: Minor

Linagliptin 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

Linagliptin exposure is reduced only by strong P-gp/CYP3A4 inducers such as rifampicin. Pioglitazone does not have this effect, and the two drugs are used together routinely.

What this interaction means in plain words

Linagliptin 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.

Linagliptin belongs to Endocrine; Pioglitazone belongs to Endocrine.

Evidence level: Moderate

Why it happens

No clinically relevant pharmacokinetic interaction; pharmacodynamic effects are complementary.

What to do

No dose adjustment is needed. Monitor glycemic control as usual.

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.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Linagliptin and Pioglitazone, the additional notes, the evidence detail and the whole-prescription interaction checker.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Try Pro+ free for 7 days on the web. No card needed.

Frequently asked questions

Can I take Linagliptin with Pioglitazone?

MediHelp rates the interaction as minor. Linagliptin 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. Linagliptin exposure is reduced only by strong P-gp/CYP3A4 inducers such as rifampicin. Pioglitazone does not have this effect, and the two drugs are used together routinely.

How serious is the interaction between Linagliptin 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: No dose adjustment is needed. Monitor glycemic control as usual.

What other medicines interact with Pioglitazone?

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

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

Browse A–Z · Drug interactions

Get the app Sign in