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Drug interactions

Linezolid + Metformin-repaglinide

Severity: Moderate

Linezolid and Metformin-repaglinide: 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

Linezolid, a weak MAO inhibitor, has been associated with hypoglycemia in patients taking insulin or oral antidiabetic drugs. This is most relevant with the repaglinide component.

What this interaction means in plain words

Linezolid and Metformin-repaglinide 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.

Linezolid belongs to Anti Bacterial; Metformin-repaglinide belongs to Endocrine.

Evidence level: Low

Why it happens

Mechanism is not firmly established; possible enhancement of insulin secretion or sensitivity related to MAO inhibition.

What to do

Monitor blood glucose during linezolid therapy and reduce antidiabetic doses if hypoglycemia occurs.

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 Linezolid with Metformin-repaglinide?

MediHelp rates the interaction as moderate. Linezolid and Metformin-repaglinide 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. Linezolid, a weak MAO inhibitor, has been associated with hypoglycemia in patients taking insulin or oral antidiabetic drugs. This is most relevant with the repaglinide component.

How serious is the interaction between Linezolid and Metformin-repaglinide?

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 blood glucose during linezolid therapy and reduce antidiabetic doses if hypoglycemia occurs.

What other medicines interact with Metformin-repaglinide?

MediHelp also lists interactions of Metformin-repaglinide with, for example, Gemfibrozil, Apalutamide, Clarithromycin. The full list is on the Metformin-repaglinide page.

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

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