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Drug interactions

Linagliptin-metformin + Mifepristone

Severity: Minor

Linagliptin-metformin and Mifepristone: 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

Mifepristone inhibits CYP3A4 and may modestly raise linagliptin exposure, which has a wide safety margin. In Cushing syndrome, mifepristone can also lower glucose and increase hypoglycemia risk.

What this interaction means in plain words

Linagliptin-metformin and Mifepristone 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-metformin belongs to Endocrine; Mifepristone belongs to Endocrine.

Evidence level: Low

Why it happens

CYP3A4 inhibition reduces linagliptin metabolism, and glucocorticoid receptor blockade may lower glucose.

What to do

No linagliptin dose change is usually needed. Monitor blood glucose when mifepristone is used long-term.

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 Linagliptin-metformin with Mifepristone?

MediHelp rates the interaction as minor. Linagliptin-metformin and Mifepristone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Mifepristone inhibits CYP3A4 and may modestly raise linagliptin exposure, which has a wide safety margin. In Cushing syndrome, mifepristone can also lower glucose and increase hypoglycemia risk.

How serious is the interaction between Linagliptin-metformin and Mifepristone?

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 linagliptin dose change is usually needed. Monitor blood glucose when mifepristone is used long-term.

What other medicines interact with Linagliptin-metformin?

MediHelp also lists interactions of Linagliptin-metformin with, for example, Apalutamide, Carbamazepine, Contrast media. The full list is on the Linagliptin-metformin page.

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

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