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Drug interactions

Meclofenamate + Tolazamide

Severity: Moderate

Meclofenamate and Tolazamide: 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

NSAIDs may enhance the hypoglycemic effect of sulfonylureas, and cases of hypoglycemia have been reported. The risk is higher with renal impairment, older age or prolonged NSAID use.

What this interaction means in plain words

Meclofenamate and Tolazamide 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: Low

Why it happens

Possible displacement from protein binding and reduced renal clearance; mechanism not fully established.

What to do

Monitor blood glucose when starting or stopping meclofenamate. Reduce the tolazamide dose 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 Meclofenamate with Tolazamide?

MediHelp rates the interaction as moderate. Meclofenamate and Tolazamide 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. NSAIDs may enhance the hypoglycemic effect of sulfonylureas, and cases of hypoglycemia have been reported. The risk is higher with renal impairment, older age or prolonged NSAID use.

How serious is the interaction between Meclofenamate and Tolazamide?

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 when starting or stopping meclofenamate. Reduce the tolazamide dose if hypoglycemia occurs.

What other medicines interact with Tolazamide?

MediHelp also lists interactions of Tolazamide with, for example, Disopyramide, Insulin degludec-liraglutide, Aceclofenac. The full list is on the Tolazamide page.

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